Richard M. Gray, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RICHARD M. GRAY, DDS, PC

Doing business as

Poudre Valley Family Dental

Practice address

2032 Lowe St Unit 100
Fort Collins, CO 80525-5743

Phone

(970) 221-3020

NPI assigned

May 6, 2024

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Gray, DDSNPI 1215225495

Title

President

Phone

(970) 221-3020

Specialties & licenses 1

Addresses

Other names 1

• Poudre Valley Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Gray, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
  • NPI 1215225495
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1437906435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255743",
            "telephone_number": "970-221-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. GRAY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-221-3020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poudre Valley Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Nicole Rhoades, LICENSED MASSAGE THE
• Lauren Rhoades, RDN
• David H Rice, M.D.
• Morgan Rice, CAT
• Ruth R Rice, PT
• Anna Richard, BS
• Megan Richard, DO
• Eric Richards, L. AC NCCAOM
• Kristy Marie Richards
• Lance Christopher Richards, DO

• Dental Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.