Organization Active NPI

Island View Dental P.C.

  • General Practice Dentistry
  • Grand Island, NE
National Provider Identifier
1003182783
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4258 Issued in NE
Legal business name
ISLAND VIEW DENTAL P.C.
Practice address
638 N. Webb Rd
Suite 1
Grand Island, NE 68803-4057
Phone
(308) 381-0167
Fax
(308) 381-6689
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Volney Lofgreen, D.D.S.NPI 1750367728
Title
Dentist
Phone
(308) 381-0167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4258 NE Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6282 NE
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4264 NE
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 5663 NE

Addresses

Primary practice location

638 N. Webb Rd
Suite 1
Grand Island, NE 68803-4057

Mailing address

638 N. Webb Rd
Suite 1
Grand Island, NE 68803-4057
Phone (308) 381-0167

National Provider Directory

National Provider Directory

Locations

638 N Webb Rd
Ste 1
Grand Island, NE 68803
Phone (308) 340-2568

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1003182783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 N. WEBB RD",
            "address_2": "SUITE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034057",
            "telephone_number": "308-381-0167",
            "fax_number": "308-381-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N. WEBB RD",
            "address_2": "SUITE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034057",
            "telephone_number": "308-381-0167",
            "fax_number": "308-381-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND VIEW DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "LOFGREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VOLNEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "308-381-0167",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4258",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6282",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4264",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.