Active NPI
Matthew Hall Ray, D.D.S.
- Dentist
- Greenville, SC
National Provider Identifier
1609979913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8299
- Practice address
- 3903 Augusta Rd
Greenville, SC 29605-1337 - Phone
- (864) 299-6700
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8299 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 7019 | NC |
Addresses
Primary practice location
3903 Augusta Rd
Greenville, SC 29605-1337
Mailing address
3903 Augusta Rd
Greenville, SC 29605-1337
Phone (864) 299-6700
Other practice location 1
1445 Tunnel Rd
Asheville, NC 28805-2803
Phone (828) 298-9928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20170728002824 | NC | Order and Referring Only - Dentist | 9335453596 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8299 | SC | MD | Physical Therapist |
| 7019 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Dental Center - Greenville, P.C. | Dentist | Past | Accepting new patients |
| Affordable Dentures - Greenville, P. C. | Dentist | Past | Accepting new patients |
| Dr. Shaun O'Hearn, DDS, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Greenville, SC
- NPI 1174861694
-
- Dentist
- Greenville, SC
- NPI 1023270436
-
- General Practice Dentistry
- Asheville, NC
- NPI 1619205721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1609979913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 AUGUSTA RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296051337",
"telephone_number": "864-299-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 AUGUSTA RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296051337",
"telephone_number": "864-299-6700"
}
],
"practiceLocations": [
{
"address_1": "1445 Tunnel Rd",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288052803",
"country_code": "US",
"telephone_number": "828-298-9928",
"fax_number": "828-298-9908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "MATTHEW",
"middle_name": "HALL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8299",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.