James Antwan Gray, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401414422 Issued in VA

Practice address

2875 Sabre St
Suite 260
Virginia Beach, VA 23452-7365

Phone

(757) 499-6886

Fax

(757) 499-3464

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

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.

• Chesapeake Dental Specialists PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chesapeake, VA
  • NPI 1467008250
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1942539994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 SABRE ST",
            "address_2": "SUITE 260",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527365",
            "telephone_number": "757-499-6886",
            "fax_number": "757-499-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SABRE ST",
            "address_2": "SUITE 260",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527365",
            "telephone_number": "757-499-6886",
            "fax_number": "757-499-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMES",
        "middle_name": "ANTWAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401414422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adoni Gray
• Andrew C Gray, PA-C
• Claire Gray, PHARMD
• Dana Weary Gray, LCSW
• Deborah C Gray, NP
• Kendall Gray
• Lawanda Ramona Gray
• Melissa Ann Gray
• Pharard A Gray Jr.
• Riley Diane Gray

• Oral and Maxillofacial Surgery (Dentist) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.