Active NPI
Kali Gray, D.M.D.
- Dentist
- Elgin, OR
National Provider Identifier
1548675358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10043
- Practice address
- 1400 Division Street
Elgin, OR 97827 - Phone
- (541) 437-6321
- NPI assigned
- Jul 1, 2014
- Last updated
- Jul 1, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10043 | OR | Primary |
Addresses
Primary practice location
1400 Division Street
Elgin, OR 97827
Mailing address
PO Box 929
Elgin, OR 97827-0929
Phone (541) 437-6321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20230123001172 | OR | Order and Referring Only - Dentist | 5890166284 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10043 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elisha Mayes, DDS, PC | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1548675358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 929",
"city": "ELGIN",
"state": "OR",
"postal_code": "978270929",
"telephone_number": "541-437-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DIVISION STREET",
"city": "ELGIN",
"state": "OR",
"postal_code": "97827",
"telephone_number": "541-437-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KALI",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, OR
- Elgin Health Center LLC
- Elisha Mayes, DDS, PC (Elgin Family Dental)
- Ashley Nicole Gibbs, FNP-C
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Elgin Clinic)
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Elgin Clinic)
- Jamie Jo Haddock, NP-C
- Hope Mental Health Services, LLC
- Julia Lee Jones, RPH
- South County Health District (Elgin Family Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.