DR. JACK R RAY (NPI# 1144423211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144423211 |
| Entity Type | Individual |
| Full Name | DR. JACK R RAY |
| Credential | DDS |
| Practice Address |
4504 4th St Nw Albuquerque NM 87107 |
| Practice Telephone | 5053441188 |
| Practice Fax Number | 5053441188 |
| Mailing Telephone | 5053441188 |
| Mailing Fax Number | 5053441188 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
827 | NM | Dental Providers |
| Street Address |
4504 4TH ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 1154565851 | Dana M Casaus | Dentist | 5910 Cubero Dr Ne, Suite D, Albuquerque, NM 87109-3842 | 2009-04-24 |
| 1164694287 | Cottonwood Orthodontics, PC | Dentist | 3730 Ellison Rd Nw, Suite B, Albuquerque, NM 87114-7009 | 2008-03-28 |
| 1396957460 | Randy Gail Alkire | Dentist | 12000 Holly Ave Ne, Albuquerque, NM 87122-1260 | 2007-05-03 |
| 1689798944 | Helen D Bush | Dentist | 2800-a Coors Blvd. Nw, Albuquerque, NM 87120 | 2007-03-19 |
| 1497880694 | David J Harnick | Dentist | 8631 F Golf Course, Nw, Albuquerque, NM 87114 | 2007-02-21 |
| 1629127105 | Harnick & Anderson LLP | Dentist | 7520 Montgomery Blvd Ne Bldg D9, Albuquerque, NM 87109-1533 | 2007-01-10 |
| 1891858940 | Darren Haltom | Dentist | 10433 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2006-12-19 |
| 1497828115 | Creating Smiles for Sucess | Dentist | 8300 San Pedro Dr Ne, Albuquerque, NM 87113-1703 | 2006-11-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.