Mark Ray MD Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MARK RAY MD DERMATOLOGY PLLC

Practice address

2601 Little Elm Pkwy
Suite 101
Little Elm, TX 75068-6677

Phone

(972) 988-9945

Fax

(469) 393-7707

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mark Kirklin Ray, MDNPI 1720022874

Title

Owner

Phone

(972) 988-9945

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark K Ray, M.D.

  • Dermatology Physician
  • Carrollton, TX
  • NPI 1720022874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1619560844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 LONG ISLES LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565684",
            "telephone_number": "972-896-8824",
            "fax_number": "469-393-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY",
            "address_2": "SUITE 101",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686677",
            "telephone_number": "972-988-9945",
            "fax_number": "469-393-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK RAY MD DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KIRKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-988-9945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mray@markraymd.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "2601 Little Elm Pkwy",
            "address_2": "SUITE 101",
            "city": "Little Elm",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750686677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dermatology Physician in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.