NPIMap

Organization Active NPI

Daniel Gray, Jr. D.D.S, P.a.

  • Dentist
  • Orlando, FL
National Provider Identifier
1649681685
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN7499 Issued in FL
Legal business name
DANIEL GRAY, JR. D.D.S, P.A.
Practice address
2809 N Powers Dr
Suite a
Orlando, FL 32818-3240
Phone
(407) 291-1056
Fax
(407) 291-3210
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Daniel Gray Jr., DDSNPI 1669433637
Title
Doctor
Phone
(407) 291-1056

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 DN7499 FL Primary

Addresses

Primary practice location

2809 N Powers Dr
Suite a
Orlando, FL 32818-3240

Mailing address

2809 N Powers Dr
Suite a
Orlando, FL 32818-3240
Phone (407) 291-1056

Other identifiers 2

IdentifierTypeStateIssuer
1669433637OtherFLNPI
076342000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2809 N Powers Dr
Ste A
Orlando, FL 32818
Phone (407) 291-1056

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": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1649681685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 N POWERS DR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183240",
            "telephone_number": "407-291-1056",
            "fax_number": "407-291-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N POWERS DR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183240",
            "telephone_number": "407-291-1056",
            "fax_number": "407-291-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GRAY, JR. D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-291-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN7499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669433637",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076342000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.