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REAGAN GRAY
NPI 1578498804
Dentist in Memphis, TN

Active since June 17, 2026PECOS Enrolled
2953 BROAD AVE, MEMPHIS, TN 38112(901) 842-3171 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reagan Gray NPPES

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

REAGAN GRAY (NPI 1578498804) is an individual dentist in Memphis, Tennessee, licensed in Tennessee (13207) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578498804
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameREAGAN GRAY
Location Address2953 BROAD AVEMemphis, TN 38112-2957
Mailing Address610 Big Lake RdMarion, AR 72364-2657
Phone(901) 842-3171
Sole ProprietorNo
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1578498804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 13207
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2953 BROAD AVE, Memphis, TN 38112
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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)

Reagan Gray 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 38112 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YOUSEF ODEH JEFFERSON DDS
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 842-3171
ZENEIDA RACHELLE DAVIS
Dental Hygienist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 842-3171
KELLI GUTTER
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 701-6064
JEFFREY DAVID AMSTUTZ DDS
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 701-2720
ELIZABETH SHOCKLEY D.D.S
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 701-2720
JENNIFER JO WADE D.D.S
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 701-2720
KAYLEE BLYSS HARRISON
Dental Hygienist
2953 BROAD AVE
MEMPHIS, TN 38112
Shelby County (901) 842-3171
DR. JONATHAN WILLIAM HALL DDS
Dentist (General Practice)
2953 BROAD AVE, CHRIST COMMUNITY HEALTH SERVICES INC
MEMPHIS, TN 38112
Shelby County (901) 271-6050

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 Reagan Gray's NPI number?

The NPI number for Reagan Gray is 1578498804. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Reagan Gray located?

Reagan Gray practices at 2953 Broad Ave, Memphis, TN 38112. The listed phone number is (901) 842-3171.

What is Reagan Gray's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Reagan Gray enrolled in Medicare?

Yes. Reagan Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reagan Gray was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.