KENDRICK DORON GRAY D.D.S.
NPI 1760680664
Dentist in Phoenix, AZ

Q: What is Kendrick Gray's NPI number?

The NPI number for Kendrick Gray is 1760680664. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Kendrick Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendrick Gray was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 03, 2007PECOS Enrolled

1701 E THOMAS RD, SUITE 204, PHOENIX, AZ 85016(602) 253-6600 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendrick Doron Gray D.d.s. NPPES

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

KENDRICK DORON GRAY D.D.S. (NPI 1760680664) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D5504) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760680664

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKENDRICK DORON GRAYCredential: D.D.S.

Location Address1701 E THOMAS RD, SUITE 204Phoenix, AZ 85016-7646

Mailing Address1611 S 173rd DrGoodyear, AZ 85338-1951 · (623) 882-8348

Phone(602) 253-6600

Sole ProprietorNo

Enumeration DateJuly 3, 2007

Last NPPES UpdateNovember 6, 2012

✔ NPI 1760680664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D5504

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.

1701 E THOMAS RD, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid232643AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendrick Doron Gray 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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

DONALD M POTTS MD

Family Medicine

1701 E THOMAS RD, STE A104
PHOENIX, AZ 85016

Maricopa County (602) 845-4445

MARK D JOHNSON MD

Obstetrics & Gynecology (Reproductive Endocrinology)

1701 E THOMAS RD, BUILDING 1 SUITE 101
PHOENIX, AZ 85016

Maricopa County (602) 343-2767

KYLE R DUBAY PA-C

Physician Assistant

1701 E THOMAS RD
PHOENIX, AZ 85016

Maricopa County (602) 845-4445

BRINLY J CROOKS PA-C

Physician Assistant

1701 E THOMAS RD, #A104
PHOENIX, AZ 85016

Maricopa County (480) 845-4445

MS. JILL LYNNETTE MCBRIDE PA

Physician Assistant (Medical)

1701 E THOMAS RD
PHOENIX, AZ 85016

Maricopa County (602) 845-4445

GARY S DAVIS DDS

Dentist

1701 E THOMAS RD, SUITE 204
PHOENIX, AZ 85016

Maricopa County (602) 253-6600

DR. DREW V MOFFITT MD

Obstetrics & Gynecology (Reproductive Endocrinology)

1701 E THOMAS RD, BUILDING 1 SUITE 101
PHOENIX, AZ 85016

Maricopa County (602) 343-2767

SCOTT HOWELL DMD

Dentist

1701 E THOMAS RD, STE 204
PHOENIX, AZ 85016

Maricopa County (602) 253-6600

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 Kendrick Gray's NPI number?

The NPI number for Kendrick Gray is 1760680664. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Kendrick Gray located?

Kendrick Gray practices at 1701 E Thomas Rd Suite 204, Phoenix, AZ 85016. The listed phone number is (602) 253-6600.

What is Kendrick Gray's specialty?

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

Is Kendrick Gray enrolled in Medicare?

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

What insurance does Kendrick Gray accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kendrick Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendrick Gray was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.