Organization Active NPI

Sheilah M Gray D.D.S.,Inc.

  • Dentist
  • Chillicothe, OH
National Provider Identifier
1639313422
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17713 Issued in OH
Legal business name
SHEILAH M GRAY D.D.S.,INC.
Practice address
64 N Walnut St
Chillicothe, OH 45601-2420
Phone
(740) 775-0100
Fax
(740) 775-0400
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. Sheilah M Gray, D.D.S.NPI 1851388813
Title
President
Phone
(740) 775-0100

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17713 OH Primary

Addresses

Primary practice location

64 N Walnut St
Chillicothe, OH 45601-2420

Mailing address

64 N Walnut St
Chillicothe, OH 45601-2420
Phone (740) 775-0100

Other identifiers 1

IdentifierTypeStateIssuer
0571037MedicaidOH

National Provider Directory

National Provider Directory

Locations

64 N Walnut St
Chillicothe, OH 45601
Phone (740) 775-0100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1639313422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-775-0100",
            "fax_number": "740-775-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-775-0100",
            "fax_number": "740-775-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILAH M GRAY D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-775-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "17713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0571037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.