Active NPI
Veronica Diana Ray, DDS
- Dentist
- Fort Collins, CO
National Provider Identifier
1962490607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8864
- Practice address
- 901 E Harmony Rd Ste 110
Fort Collins, CO 80525-4942 - Phone
- (970) 206-0045
- Fax
- (970) 206-0107
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8864 | CO | Primary |
Addresses
Primary practice location
901 E Harmony Rd Ste 110
Fort Collins, CO 80525-4942
Mailing address
901 E Harmony Rd Ste 110
Fort Collins, CO 80525-4942
Phone (970) 206-0045
Other practice location 1
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 526-5231
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 15, 2015 through Oct 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8864 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1962490607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E HARMONY RD STE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254942",
"telephone_number": "970-206-0045",
"fax_number": "970-206-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E HARMONY RD STE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254942",
"telephone_number": "970-206-0045",
"fax_number": "970-206-0107"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134613",
"country_code": "US",
"telephone_number": "719-526-5231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "VERONICA",
"middle_name": "DIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "8864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.