Active NPI
Buffy M Gray, RDH
- Dental Hygienist
- Morristown, TN
National Provider Identifier
1548489552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4744
- Practice address
- 902 W Main St
Morristown, TN 37814-4515 - Phone
- (423) 586-3432
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4744 | TN | Primary |
Addresses
Primary practice location
902 W Main St
Morristown, TN 37814-4515
Mailing address
995 Beth Dr
Russellville, TN 37860-8953
Phone (423) 318-8088
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4744 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548489552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 BETH DR",
"city": "RUSSELLVILLE",
"state": "TN",
"postal_code": "378608953",
"telephone_number": "423-318-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 W MAIN ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144515",
"telephone_number": "423-586-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BUFFY",
"middle_name": "M",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "4744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.