NPIMap

Organization Active NPI

Tri-Valley Dental P.C.

  • General Practice Dentistry
  • Fremont, NE
National Provider Identifier
1679653661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3956 Issued in NE
Legal business name
TRI-VALLEY DENTAL P.C.
Practice address
1689 E 23Rd St
Fremont, NE 68025-2435
Phone
(402) 727-9292
Fax
(402) 727-9299
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Wentworth May, D.D.S.NPI 1578551990
Title
President
Phone
(402) 727-9292

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3956 NE Primary

Addresses

Primary practice location

1689 E 23Rd St
Fremont, NE 68025-2435

Mailing address

1689 E 23Rd St
Fremont, NE 68025-2435
Phone (402) 727-9292

Other names 1

  • Gary W. May DDS, P.C. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679653661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252435",
            "telephone_number": "402-727-9292",
            "fax_number": "402-727-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252435",
            "telephone_number": "402-727-9292",
            "fax_number": "402-727-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WENTWORTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-727-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "3956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary W. May DDS, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.