Individual provider Active NPI

Matthew Hall Ray, D.D.S.

  • Dentist
  • Greenville, SC
National Provider Identifier
1609979913
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8299 Issued in SC
Practice address
3903 Augusta Rd
Greenville, SC 29605-1337
Phone
(864) 299-6700
NPI assigned
Sep 6, 2006
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002824 NC Order and Referring Only - DentistPractitioner - Dentist 9335453596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8299SCMDPhysical Therapist
7019NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Dental Center - Greenville, P.C. Dentist PastSince Sep 14, 2025 Accepting new patients
Affordable Dentures - Greenville, P. C. Dentist PastSince Sep 14, 2025 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.

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

Verify at the official NPI Registry.