Gray Team LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRAY TEAM LLC

Practice address

813 N Stilson Rd
Ste:B
Boise, ID 83703-5119

Phone

(208) 342-4644

Fax

(208) 367-0283

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tyson Gray, D.M.D

Title

Owner

Phone

(208) 342-4644

Specialties & licenses 1

Addresses

Other names 1

• Parkway Dental Doing business as

Practitioners 1

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

• Tyler Layton Hendricks, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1891356184
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1922489673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N STILSON RD",
            "address_2": "STE:B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-342-4644",
            "fax_number": "208-367-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N STILSON RD",
            "address_2": "STE:B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-342-4644",
            "fax_number": "208-367-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-342-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rylee Mae Graves, LPC
• Sarai Graves
• Teresa Marie Graves, CPSS
• Scott A Graviet, DPM
• Gray Facial Plastic Surgery
• Tara Gray-Trent
• Abby Lynn Gray, NNP
• Elizabeth Marie Gray, FNP-C
• Erin K. Gray, FNP-BC
• Jennifer Gray, MD

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.