Diane Marie Ray, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS035437 Issued in PA

Practice address

2565 Park Center Blvd
Suite 300
State College, PA 16801-3007

Phone

(814) 308-9504

Fax

(814) 954-7723

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Diane Marie Ray Engroff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State College Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • State College, PA
  • NPI 1538468475
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1376722033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KENNEDY ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017806",
            "telephone_number": "814-235-9998",
            "fax_number": "814-235-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 PARK CENTER BLVD",
            "address_2": "SUITE 300",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013007",
            "telephone_number": "814-308-9504",
            "fax_number": "814-954-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS035437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "RAY ENGROFF",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DMD MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Salvatore M. Ramondelli, M.D.
• Sarah Gail Ramos, LSW
• Brian Matthew Randecker, O.D.
• Maida Christine Rasmussen
• Jeffrey A Ratner, MD
• Nathaniel Stephen Ray, LSW
• John Robert Raykovitz, PHD
• Karen Anne Reap, M.S., LPC, CAC, CCDP
• Sameer Vijay Hanuman Reddy, DO
• Varun Reddy

• Orthodontics and Dentofacial Orthopedics Dentistry in State College, PA
• Providers in State College, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.