Tricia Anne Ray, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9249 Issued in OR

Practice address

140 Ramsgate SQ S
Suite 120
Salem, OR 97302-5871

Phone

(503) 363-1661

NPI assigned

Feb 24, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Building Blocks Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1235904186
  NPD Authorized official

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1417197815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 9TH AVE",
            "address_2": "APT 418",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092864",
            "telephone_number": "503-724-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RAMSGATE SQ S",
            "address_2": "SUITE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025871",
            "telephone_number": "503-363-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "TRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Marea Raupp-Gardner, LPCA
• Mark Rautiola, LPC
• Rachel Hopkins Ravarra, LCSW
• Samuel James Rawlins, RPH
• Claire Rawson
• Raisa Michylovna Razloga, LMT
• Mandy Rea
• Jennifer Bliss Read
• Kaylee Read, LMT
• Brooke Reavis

• Pediatric Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.