Blake Wesley McRay, D.D.S., M.S.D.

Primary specialty

DentistTaxonomy code 122300000X

License

57025 Issued in CA

Practice address

1309 Tennessee St
Vallejo, CA 94590-4645

Phone

(707) 642-3636

NPI assigned

Oct 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 13, 2016 through Jun 13, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Blake W. McRay, D.D.S., M.S.D., Inc.

  • Endodontics
  • Vallejo, CA
  • NPI 1437591930
  NPD (past) Authorized official
• Howard Liu, DDS, Inc

  • Endodontics
  • Vallejo, CA
  • NPI 1891266490
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1437348034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN VILLAGE CIR",
            "address_2": "APT. #2141",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391611",
            "telephone_number": "210-685-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904645",
            "telephone_number": "707-642-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAY",
        "first_name": "BLAKE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23415",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen B McKnight, NP
• Robert Tollman McLaren
• Andrew Malcolm McLeod
• Kian McNair-Speech
• Keedra Deshauna McNeill, M.D.
• Meaghan McVeigh
• Jaymijah Marie Means, FNP-C
• Ragie Rose Mecenario
• Nancy Lee Medcalf
• Medi-Core Transport, Inc

• Dentist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.