Active NPI
Roger Dale Wray, D.D.S.
- Dentist
- Apopka, FL
National Provider Identifier
1528026630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18247
- Practice address
- 210 E 7TH St
Apopka, FL 32703-3208 - Phone
- (407) 905-8827
- Fax
- (407) 880-2138
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18247 | FL | Primary |
Addresses
Primary practice location
210 E 7TH St
Apopka, FL 32703-3208
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075767500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622002327 | FL | Order and Referring Only - Dentist | 3779874797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Past | Accepting new patients | |
| Community Health Centers, Inc | Past | Accepting new patients | |
| Community Health Centers, Inc. | Past | Accepting new patients | |
| Community Health Centers, Inc. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- roger.wray@chcfl.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Orlando, FL
- NPI 1003058140
-
- Clinic/Center
- Apopka, FL
- NPI 1265791842
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1831261445
-
- Federally Qualified Health Center (FQHC)
- Apopka, FL
- NPI 1972800563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1528026630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-880-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 7TH ST",
"city": "APOPKA",
"state": "FL",
"postal_code": "327033208",
"telephone_number": "407-905-8827",
"fax_number": "407-880-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "ROGER",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075767500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.