Organization Active NPI

Ronald L. Gray DMD, PA

  • Dentist
  • Greer, SC
National Provider Identifier
1568517001
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3692 Issued in SC
Legal business name
RONALD L. GRAY DMD, PA
Practice address
110 W Church St
Greer, SC 29650-1907
Phone
(864) 877-7239
Fax
(864) 879-2079
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Lloyd Gray, DMDNPI 1598836991
Title
Owner, President
Phone
(864) 877-7239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3692 SC Primary

Addresses

Primary practice location

110 W Church St
Greer, SC 29650-1907

Mailing address

110 W Church St
Greer, SC 29650-1907
Phone (864) 877-7239

Other identifiers 1

IdentifierTypeStateIssuer
ZX3692MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568517001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W CHURCH ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501907",
            "telephone_number": "864-877-7239",
            "fax_number": "864-879-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CHURCH ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501907",
            "telephone_number": "864-877-7239",
            "fax_number": "864-879-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. GRAY DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "864-877-7239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3692",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.