Active NPI
Gregory Michael Ray, D.D.S.
- General Practice Dentistry
- Manhattan Beach, CA
National Provider Identifier
1982796975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50355
- Practice address
- 500 S Sepulveda Blvd Ste 305
Manhattan Beach, CA 90266-6977 - Phone
- (310) 219-6262
- Fax
- (310) 775-2181
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50355 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 058395-1 | NY |
Addresses
Primary practice location
500 S Sepulveda Blvd Ste 305
Manhattan Beach, CA 90266-6977
Mailing address
500 S Sepulveda Blvd Ste 305
Manhattan Beach, CA 90266-6977
Phone (310) 219-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058395-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory M. Ray D.D.S., Inc. | Current | Accepting new patients |
Locations
500 S Sepulveda Blvd
Ste 305
Manhattan Beach, CA 90266
Phone (310) 219-6262
Organizations & group practices 1
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.
-
- Public Health Dentistry
- Manhattan Beach, CA
- NPI 1578153284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1982796975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S SEPULVEDA BLVD STE 305",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666977",
"telephone_number": "310-219-6262",
"fax_number": "310-775-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S SEPULVEDA BLVD STE 305",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666977",
"telephone_number": "310-219-6262",
"fax_number": "310-775-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "GREGORY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50355",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058395-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.