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JESSICA RAY D.D.S.
NPI 1184882458
Dentist - General Practice in San Jose, CA

Active since May 23, 2008PECOS Enrolled
1153 SOUTH KING ROAD, SUITE B, SAN JOSE, CA 95122(408) 240-0250(323) 249-7565 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Ray D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA RAY D.D.S. (NPI 1184882458) is an individual general practice provider in San Jose, California, licensed in California (56530) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184882458
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA RAYCredential: D.D.S.
Location Address1153 SOUTH KING ROAD, SUITE BSan Jose, CA 95122
Mailing Address1153 South King Road, Suite BSan Jose, CA 95122 · (408) 240-0250 · Fax (323) 249-7565
Phone(408) 240-0250
Fax(323) 249-7565
Sole ProprietorYes
Enumeration DateMay 23, 2008
✔ NPI 1184882458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 56530
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1153 SOUTH KING ROAD, San Jose, CA 95122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ray D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ray's NPI number?

The NPI number for Jessica Ray is 1184882458. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Jessica Ray located?

Jessica Ray practices at 1153 South King Road Suite B, San Jose, CA 95122. The listed phone number is (408) 240-0250.

What is Jessica Ray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Ray enrolled in Medicare?

Yes. Jessica Ray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Ray was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.