Active NPI
Steven Allen Gray, DDS
- Dentist
- Ann Arbor, MI
National Provider Identifier
1750461489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18447
- Practice address
- 2365 South Huron Parkway
Suite B
Ann Arbor, MI 48104-5156 - Phone
- (734) 677-8700
- Fax
- (734) 677-4606
- NPI assigned
- Oct 17, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18447 | MI | Primary |
Addresses
Primary practice location
2365 South Huron Parkway
Suite B
Ann Arbor, MI 48104-5156
Mailing address
2499 Carriage Court
Ypsilanti, MI 48197-7429
Phone (734) 528-1602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18447 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Marzonie Gray & Associates PLLC | Dentist | Past | Accepting new patients |
| Apnea Alternatives | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Ann Arbor, MI
- NPI 1881034098
-
- Dentist
- Ann Arbor, MI
- NPI 1154430718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750461489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 CARRIAGE COURT",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977429",
"telephone_number": "734-528-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 SOUTH HURON PARKWAY",
"address_2": "SUITE B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481045156",
"telephone_number": "734-677-8700",
"fax_number": "734-677-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "STEVEN",
"middle_name": "ALLEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "18447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Jeanne Gray
- Juliette Charmaine Gray, PSY.D.
- Lindsay Marie Gray, MSW
- Martha L Gray, MD
- Sommer Ann Marie Gray
- Gregory P. Graziano, MD
- Great Lakes Bay Health Centers (Great Lakes Bay Health Centers U of M)
- Great Lakes Oral Surgery PLLC (Wisdom Tooth & Dental Implant Center)
- Great Lakes Teletherapy
- Great Lakes Wellness Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.