Timothy Ray, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4531 Issued in WV

Practice address

2012 Pleasant Valley Rd
Fairmont, WV 26554-9456

Phone

(304) 368-0342

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ray Family Dentistry, PLLC

  • Dental Clinic/Center
  • Fairmont, WV
  • NPI 1043959885
  Medicare reassignment NPD Authorized official
• Linda L. Ray,DDS and William a. Ray, II, DDS, PLLC

  • General Practice Dentistry
  • Fairmont, WV
  • NPI 1700983921
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1740850486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 PLEASANT VALLEY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549456",
            "telephone_number": "304-368-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 PLEASANT VALLEY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549456",
            "telephone_number": "304-368-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "TIMOTHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rose Ramage
• Andrea Ramsey
• Amanda Randolph, SLP
• Ray Family Dentistry, PLLC
• Linda Lou Ray, DDS
• William Alfred Ray II, DDS
• Jedakyah Reams
• Emily Reasnover
• Emily Rebelo, LCSW, AADC
• Therese Danielle Reed, FNP-C

• General Practice Dentistry in Fairmont, WV
• Providers in Fairmont, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.