Gray'S Periodontal Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRAY'S PERIODONTAL CENTER

Practice address

1244 Perimeter Pkwy Ste 442
Virginia Beach, VA 23454-5699

Phone

(757) 716-3539

Fax

(757) 716-3546

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Gray, DDSNPI 1770720666

Title

Ceo

Phone

(757) 716-3539

Specialties & licenses 1

Addresses

Other names 1

• Gray's Periodontal Center, PC Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

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

• Andrew Karl Gray, PHARMD,, D.D.S

  • Dentist
  • Memphis, TN
  • NPI 1770720666
  NPD Authorized official
• Priscilla M Johnson, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1164917365
  NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1952054793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 PERIMETER PKWY STE 442",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545699",
            "telephone_number": "757-716-3539",
            "fax_number": "757-716-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PERIMETER PKWY STE 442",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545699",
            "telephone_number": "757-716-3539",
            "fax_number": "757-716-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY'S PERIODONTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-716-3539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.grayperiodontal.com",
            "affiliation": "N",
            "endpointDescription": "secured website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Virginia Beach",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1244 Perimeter Pkwy Ste 442",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234545699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gray's Periodontal Center, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pharard A Gray Jr.
• Riley Diane Gray
• Sara Beth Gray
• Secylia Gray
• Yvette Gray
• Patricia Graybeal
• Melanie Marie Graybill, IDC
• George Ira Grayson, M.D.
• Iyona Grayson
• Elizabeth A Graziani, SLP

• Dental Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.