NPIMap

Organization Active NPI

Trail Creek Dental PLLC

  • General Practice Dentistry
  • Euless, TX
National Provider Identifier
1760967582
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRAIL CREEK DENTAL PLLC
Doing business as
Trail Creek Dental PLLC
Practice address
350 Westpark Way Ste 200
Euless, TX 76040-3965
Phone
(817) 283-5376
Fax
(817) 502-6494
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Jennifer AllenNPI 1578841110
Title
Office Manager
Phone
(817) 283-5376

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

350 Westpark Way Ste 200
Euless, TX 76040-3965

Mailing address

350 Westpark Way Ste 200
Euless, TX 76040-3965
Phone (817) 283-5376

Other names 1

  • Trail Creek Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

350 Westpark Way
Ste 200
Euless, TX 76040
Phone (817) 283-5376

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1760967582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 200",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403965",
            "telephone_number": "817-283-5376",
            "fax_number": "817-502-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY STE 200",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403965",
            "telephone_number": "817-283-5376",
            "fax_number": "817-502-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-283-5376"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trail Creek Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.