NPIMap

Organization Active NPI

Trail View Dental LLC

  • Dental Clinic/Center
  • Grand Island, NE
National Provider Identifier
1093458945
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRAIL VIEW DENTAL LLC
Practice address
2916 W Stolley Park Rd Ste a
Grand Island, NE 68801-6808
Phone
(308) 380-7622
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Dr. Jory T Crouch, DDSNPI 1508425026
Title
Owner/Dentist
Phone
(308) 380-7622

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2916 W Stolley Park Rd Ste a
Grand Island, NE 68801-6808

Mailing address

2916 W Stolley Park Rd Ste a
Grand Island, NE 68801-6808
Phone (083) 821-7343

Other names 1

  • Waters Family Dentistry Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@grandislandsmiles.com Direct

National Provider Directory

National Provider Directory

Locations

2916 W Stolley Park Rd
Ste A
Grand Island, NE 68801
Phone (308) 380-7622

Practitioners & affiliated clinicians

Practitioners 1

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": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1093458945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 W STOLLEY PARK RD STE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016808",
            "telephone_number": "083-821-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 W STOLLEY PARK RD STE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016808",
            "telephone_number": "308-380-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL VIEW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "JORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "308-380-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@grandislandsmiles.com",
            "affiliation": "N",
            "endpointDescription": "Secure office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2916 W Stolley Park Rd Ste A",
            "city": "Grand Island",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688016808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Waters Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 19, 2022; 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.