Active NPI
Cameron James Gray, DDS
- Endodontics
- Rochester, MN
National Provider Identifier
1770165862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D14662
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210714001658 | IA | Order and Referring Only - Dentist | 7517369440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7988 | NE | MD | Mental Health Counselor |
| D14662 | MN | MD | Dentist |
| DDS-09911 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon M. Patten, DDS, PC | Past | Accepting new patients | |
| Rochester Endodontics, PA | Endodontics | Past | Accepting new patients |
| Unmc College of Dentistry | Dentist | Past | 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.
-
- Endodontics
- Rochester, MN
- NPI 1326398025
-
- General Practice Dentistry
- Ames, IA
- NPI 1265735534
-
- Dentist
- Lincoln, NE
- NPI 1649646746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.