NPIMap

Organization Active NPI

Minda J Gray

Doing business as Omos Park Cosmetic Dentistry

  • Dentist
  • San Antonio, TX
National Provider Identifier
1902343148
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31920 Issued in TX
Legal business name
MINDA J GRAY
Doing business as
Omos Park Cosmetic Dentistry
Practice address
351 E Hildebrand Ave
San Antonio, TX 78212-2412
Phone
(210) 824-2303
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Mrs. Minda J Gray, DDS
Title
Owner/Dentist
Phone
(210) 824-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31920 TX Primary

Addresses

Primary practice location

351 E Hildebrand Ave
San Antonio, TX 78212-2412

Mailing address

351 E Hildebrand Ave
San Antonio, TX 78212-2412
Phone (210) 824-2303

Other names 1

  • Omos Park Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1902343148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 E HILDEBRAND AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122412",
            "telephone_number": "210-824-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 E HILDEBRAND AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122412",
            "telephone_number": "210-824-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDA J GRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-824-2303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omos Park Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.