Individual provider Active NPI

Cameron James Gray, DDS

  • Endodontics
  • Rochester, MN
National Provider Identifier
1770165862
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D14662 Issued in MN
Practice address
116 Elton Hills LN NW Ste 100
Rochester, MN 55901-3579
Phone
(507) 288-8363
Fax
(507) 288-4456
NPI assigned
Apr 27, 2021
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7988 NE
Endodontics 1223E0200X DDS-09911 IA
Endodontics 1223E0200X D14662 MN Primary

Addresses

Primary practice location

116 Elton Hills LN NW Ste 100
Rochester, MN 55901-3579

Mailing address

116 Elton Hills LN NW Ste 100
Rochester, MN 55901-3579
Phone (507) 288-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20210714001658 IA Order and Referring Only - DentistPractitioner - Dentist 7517369440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7988NEMDMental Health Counselor
D14662MNMDDentist
DDS-09911IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon M. Patten, DDS, PC PastSince Jul 1, 2022 Accepting new patients
Rochester Endodontics, PA Endodontics Past Accepting new patients
Unmc College of Dentistry Dentist PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 3

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770165862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013579",
            "telephone_number": "507-288-8363",
            "fax_number": "507-288-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013579",
            "telephone_number": "507-288-8363",
            "fax_number": "507-288-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CAMERON",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NE",
            "license": "7988",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-09911",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D14662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.