Individual provider Active NPI

Adam Morgan Gray, DMD

  • Dentist
  • Solon, OH
National Provider Identifier
1871160317
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026527 Issued in OH
Practice address
6200 Som Center Rd Ste C12
Solon, OH 44139-2945
Phone
(440) 248-3022
NPI assigned
Jun 4, 2021
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026527 OH
Dentist 122300000X 30.026527 OH Primary

Addresses

Primary practice location

6200 Som Center Rd Ste C12
Solon, OH 44139-2945

Mailing address

6200 Som Center Rd Ste C12
Solon, OH 44139-2945
Phone (440) 248-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250414000736 OH Practitioner - Dentist 6800310616 Practice locations: Solon, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026527OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marino and Associates Inc General Practice PastSince Jun 1, 2021 Accepting new patients
DRS. Marino, Nassif & Associates Inc. General Practice PastSince Jun 1, 2021 Accepting new patients
Mirach LLC PastSince Oct 8, 2023 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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1871160317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD STE C12",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392945",
            "telephone_number": "440-248-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD STE C12",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392945",
            "telephone_number": "440-248-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ADAM",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026527",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.