Andrew Ray, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN016153 Issued in GA

Practice address

4330 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-6121

Phone

(770) 622-1515

NPI assigned

Mar 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stingray Venture Group PLLC

  dba Ray Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1669329900
  NPD Authorized official
• Dental Town, LLC

  • Dentist
  • Cumming, GA
  • NPI 1457657439
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1891298238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246121",
            "telephone_number": "770-622-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246121",
            "telephone_number": "770-622-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 W 1730 N",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846041707",
            "country_code": "US",
            "telephone_number": "801-473-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN016153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ramlal
• Yue Rao
• Bethwel Raore, MD
• Amor Raparla, FNP
• Christie Rary, RPT
• Reagan Medical Center
• Reagan Medical Center LLC
• Charlotte Anne Reaves, L.C.S.W.
• Rediclinic US, LLC (RediClinic)
• Christine Redovian, P.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.