Brian M Gray, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12805 Issued in MN

Practice address

8600 Nicollet Avenue
Bloomington, MN 55420-2284

Phone

(763) 585-8700

Fax

(763) 585-8704

NPI assigned

Jun 1, 2010

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Male

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 MN

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.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Bloomington Family Dental, PLLC

  • Dental Clinic/Center
  • Bloomington, MN
  • NPI 1649079039
  NPD Authorized official
• Bloomington Sleep and TMD Care PLLC

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1922947142
  NPD Authorized official
• Group Health, Inc.

  dba HealthPartners Woodbury Dental Clinic

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1083769335
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1871813857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NICOLLET AVENUE",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202284",
            "telephone_number": "952-541-2888",
            "fax_number": "952-541-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 NICOLLET AVENUE",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202284",
            "telephone_number": "763-585-8700",
            "fax_number": "763-585-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand St. Paul CVS LLC (CVS Pharmacy # 03060)
• Grandview Reliable Care (Grandview Reliable Care LLC.)
• Carly Marie Grant
• Aaron Kyle Graumann, M.D.
• Carolyn Grace Grausam
• Stephanie Marie Gray
• Great Oak Senior Care, Inc.
• Karli Jean Green, OT
• Travis Ray Green, DMS, PA-C
• Elisabeth Marycke Vreede Greenberg

• General Practice Dentistry in Bloomington, MN
• Providers in Bloomington, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.