Pamela Sue Ray, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15941 Issued in TX

Practice address

5419 Fredericksburg Rd
Oak Hills Periodontics - Dr. Pamela Ray
San Antonio, TX 78229-3503

Phone

(210) 616-0980

Fax

(210) 614-1122

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Pamela Sue Berlanga Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• TX Southern Dental PPO PC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1508547886
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1932191012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 FREDERICKSBURG RD",
            "address_2": "OAK HILLS PERIODONTICS - DR. PAMELA RAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293503",
            "telephone_number": "210-616-0980",
            "fax_number": "210-614-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 FREDERICKSBURG RD",
            "address_2": "OAK HILLS PERIODONTICS - DR. PAMELA RAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293503",
            "telephone_number": "210-616-0980",
            "fax_number": "210-614-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BERLANGA",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Faith Kaufhold Ray, MS LPC LMFT
• Isabella Ray
• Jermaine L Ray
• Kaylyn Ray
• Olivia Lynn Ray, DDS
• Ramon Ray, D.D.S
• Rebecca Marie Ray, PT
• Roshni Ray
• Stephanie Ray, RN
• Gary Raya

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.