Individual provider Active NPI

Shelby J. Trail, DMD

  • Dentist
  • Jupiter, FL
National Provider Identifier
1083615900
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12805 Issued in FL
Practice address
1851 W Indiantown Rd
Suite 203
Jupiter, FL 33458-3995
Phone
(561) 743-8705
Fax
(561) 743-3791
NPI assigned
Aug 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN12805 FL Primary

Addresses

Primary practice location

1851 W Indiantown Rd
Suite 203
Jupiter, FL 33458-3995

Mailing address

1851 W Indiantown Rd
Suite 203
Jupiter, FL 33458-3995
Phone (561) 743-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN12805FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Taormina Dental Group PLLC PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083615900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W INDIANTOWN RD",
            "address_2": "SUITE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583995",
            "telephone_number": "561-743-8705",
            "fax_number": "561-743-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W INDIANTOWN RD",
            "address_2": "SUITE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583995",
            "telephone_number": "561-743-8705",
            "fax_number": "561-743-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAIL",
        "first_name": "SHELBY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.