Individual provider Active NPI

Hans Peter Gray, D.D.S.

  • Pediatric Dentistry
  • Bend, OR
National Provider Identifier
1811336753
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D10757 Issued in OR
Practice address
1245 SE 3Rd St Ste A1
Bend, OR 97702-2162
Phone
(541) 318-5688
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X S6-156 NV
Pediatric Dentistry 1223P0221X D10757 OR Primary

Addresses

Primary practice location

1245 SE 3Rd St Ste A1
Bend, OR 97702-2162

Mailing address

20619 Rolen Ave
Bend, OR 97702-3858
Phone (801) 870-0142

Other practice location 1

1141 Steamboat Pkwy Ste 900
Reno, NV 89521
Phone (775) 357-9515

Other practice location 2

1291 E McAndrews Rd
Medford, OR 97504-6103
Phone (541) 779-8923

Other practice location 3

124 NE Evelyn Ave Ste B
Grants Pass, OR 97526-1427
Phone (541) 916-8484

Other practice location 4

1146 Iowa St
Ashland, OR 97520-2220
Phone (541) 482-9442

Other practice location 5

500 Main St
Klamath Falls, OR 97601-6032
Phone (541) 884-1272

Other practice location 6

710 SW Highland Ave
Redmond, OR 97756-3120
Phone (541) 318-5688

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S6-156NVMDPediatric Dentist
D10757ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hans P Gray DDS LLC Pediatric Dentistry CurrentSince Aug 28, 2021 Accepting new patients
David M Alex DDS PC Pediatric Dentistry Past Accepting new patients
James Kolby Robinson, DMD Pediatric Dentistry PastSince Jul 27, 2020 Accepting new patients
Jason Champagne VIII PLLC PastSince Nov 10, 2024 Accepting new patients

Locations

1141 Steamboat Pkwy
Ste 900
Reno, NV 89521
Phone (775) 357-9515

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1811336753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20619 ROLEN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023858",
            "telephone_number": "801-870-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 SE 3RD ST STE A1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022162",
            "telephone_number": "541-318-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Steamboat Pkwy Ste 900",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89521",
            "country_code": "US",
            "telephone_number": "775-357-9515",
            "fax_number": "775-357-8109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1291 E McAndrews Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046103",
            "country_code": "US",
            "telephone_number": "541-779-8923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 NE Evelyn Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261427",
            "country_code": "US",
            "telephone_number": "541-916-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1146 Iowa St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975202220",
            "country_code": "US",
            "telephone_number": "541-482-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Main St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016032",
            "country_code": "US",
            "telephone_number": "541-884-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 SW Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977563120",
            "country_code": "US",
            "telephone_number": "541-318-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HANS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-156",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.