Meredeth Su Gray, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011460A Issued in IN

Practice address

1608 Lafayette Avenue
Terre Haute, IN 47804

Phone

(812) 466-9826

Fax

(812) 466-1720

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Sex

Female

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 IN

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

State licenses

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.

• Smudde Family Dentistry

  • Clinic/Center
  • Terre Haute, IN
  • NPI 1528879103
  NPD Authorized official
• Carl a. Smudde

  • General Practice Dentistry
  • Terre Haute, IN
  • NPI 1134424930
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1841503257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LAFAYETTE AVENUE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47804",
            "telephone_number": "812-466-9826",
            "fax_number": "812-466-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LAFAYETTE AVENUE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47804",
            "telephone_number": "812-466-9826",
            "fax_number": "812-466-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MEREDETH",
        "middle_name": "SU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011460A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chitra Gowda, MD
• Shashikumar R Gowda, M.D.
• Grace Lee Walker MD PC
• Jaycie Graves
• Meghan T Gray
• Carnell Green Jr
• Ashlee Danyel Green, RBT
• William Douglas Green, M.D.
• Spencer Greenwood, CRNA
• Roland A Grieb, M.D.

• Dentist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.