DR. JENNIFER ELLEN GRAY DDS
NPI 1811564859
Dentist in Chesterton, IN

Q: What is Jennifer Gray's NPI number?

The NPI number for Jennifer Gray is 1811564859. It was assigned to this individual provider in the NPPES registry on June 8, 2021. The provider is also known as Jennifer Ellen Niemzyk Dds.

Q: What is Jennifer 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 Jennifer Gray was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 08, 2021

801 BROADWAY, CHESTERTON, IN 46304(219) 763-8112 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Jun 8, 2021 (2 updates tracked since 2021).

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About Dr. Jennifer Ellen Gray Dds NPPES

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

DR. JENNIFER ELLEN GRAY DDS (NPI 1811564859) is an individual dentist in Chesterton, Indiana, licensed in Illinois (019033143) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1811564859

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER ELLEN GRAYCredential: DDS

Location Address801 BROADWAYChesterton, IN 46304-2230

Mailing Address6050 Sterling Creek RdPortage, IN 46368-7752 · (219) 763-8112

Phone(219) 763-8112

Sole ProprietorNo

Enumeration DateJune 8, 2021

Last NPPES UpdateApril 12, 20232 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1811564859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019033143

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.

801 BROADWAY, Chesterton, IN 46304

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Other Names 1

Former Name (1)Jennifer Ellen Niemzyk Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

MS. BETH LIANE NOEL LMHC, LCAC

Counselor (Mental Health)