Gerald Jay Gray, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D11595 Issued in MN

Practice address

116 Elton Hills LN NW
Suite 100
Rochester, MN 55901-3567

Phone

(507) 288-8363

Fax

(507) 288-4456

NPI assigned

Mar 28, 2007

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

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

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rochester Endodontics, PA

  • Endodontics
  • Rochester, MN
  • NPI 1326398025
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1518086016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013567",
            "telephone_number": "507-288-8363",
            "fax_number": "507-288-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013567",
            "telephone_number": "507-288-8363",
            "fax_number": "507-288-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "GERALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D11595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Graves, LPCC
• Rachel Ya Whey Graves, OTD, OTR/L
• Gwendolyn Gray-Burlingame
• Austin Montgomery Gray, DC
• Cameron James Gray, DDS
• Henry Gray
• Leacia Gray
• Leah Olson Grcevich, DO
• Kevin L. Greason, M.D.
• Great Lakes Psychological Services, PC

• Endodontics in Rochester, MN
• Providers in Rochester, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.