Individual provider Active NPI

Charles A Ray III, DDS

  • Dentist
  • Katy, TX
National Provider Identifier
1437372018
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9366 Issued in TX
Practice address
23855 Cinco Ranch Blvd Ste 240
Katy, TX 77494-3172
Phone
(281) 391-4422
Fax
(281) 391-4424
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9366 TX Primary

Addresses

Primary practice location

23855 Cinco Ranch Blvd Ste 240
Katy, TX 77494-3172

Mailing address

23855 Cinco Ranch Blvd Ste 240
Katy, TX 77494-3172
Phone (281) 391-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9366TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry by Rse General Practice CurrentSince Jul 24, 2022 Accepting new patients

Locations

23855 Cinco Ranch Blvd
Ste 240
Katy, TX 77494
Phone (281) 391-4422

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1437372018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23855 CINCO RANCH BLVD STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943172",
            "telephone_number": "281-391-4422",
            "fax_number": "281-391-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23855 CINCO RANCH BLVD STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943172",
            "telephone_number": "281-391-4422",
            "fax_number": "281-391-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.