Individual provider Active NPI

Joshua Price Wray

  • General Practice Dentistry
  • Malad City, ID
National Provider Identifier
1689304529
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-5426 Issued in ID
Practice address
150 S Main St
Malad City, ID 83252-1405
Phone
(208) 905-3614
NPI assigned
Jun 14, 2022
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-5426 ID Primary

Addresses

Primary practice location

150 S Main St
Malad City, ID 83252-1405

Mailing address

150 S Main St
Malad City, ID 83252-1402
Phone (208) 905-3614

Other practice location 1

1525 Bannock Hwy
Pocatello, ID 83204-3509
Phone (208) 233-2230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@oneidafamilydental.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-5426IDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Hills Family Dentistry General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: info@oneidafamilydental.com

Organizations & group practices 1

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1689304529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MAIN ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832521402",
            "telephone_number": "208-905-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832521405",
            "telephone_number": "208-905-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Bannock Hwy",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832043509",
            "country_code": "US",
            "telephone_number": "208-233-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "JOSHUA",
        "middle_name": "PRICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oneidafamilydental.com",
            "affiliation": "N",
            "endpointDescription": "information email address for practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 S Main St",
            "city": "Malad City",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832521405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.