NPIMap

Organization Active NPI

Skyla Inc.

  • Dental Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1003320003
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3431 Issued in SC
Legal business name
SKYLA INC.
Practice address
775 Addison Dr Ste 111
Rock Hill, SC 29730-7061
Phone
(803) 832-4446
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Patricia King Rucker, DDSNPI 1750465050
Title
President
Phone
(803) 832-4446

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 3431 SC Primary

Addresses

Primary practice location

775 Addison Dr Ste 111
Rock Hill, SC 29730-7061

Mailing address

586 Foster Heights Dr
Lancaster, SC 29720-9218
Phone (803) 832-4446

Other practice location 1

406 Chesterfield Ave
Lancaster, SC 29720-3508
Phone (803) 283-9969

Other practice location 2

3191 Lancaster Hwy Ste G
Richburg, SC 29729-9238
Phone (803) 832-4446

Other identifiers 1

IdentifierTypeStateIssuer
Z34311MedicaidSC

National Provider Directory

National Provider Directory

Locations

406 Chesterfield Ave
Lancaster, SC 29720
Phone (803) 283-9969

3191 Lancaster Hwy
Ste G
Richburg, SC 29729
Phone (803) 832-4446

775 Addison Dr
Ste 111
Rock Hill, SC 29730
Phone (803) 659-3899

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1003320003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 FOSTER HEIGHTS DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297209218",
            "telephone_number": "803-832-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ADDISON DR STE 111",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307061",
            "telephone_number": "803-832-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Chesterfield Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297203508",
            "country_code": "US",
            "telephone_number": "803-283-9969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3191 Lancaster Hwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Richburg",
            "state": "SC",
            "postal_code": "297299238",
            "country_code": "US",
            "telephone_number": "803-832-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-832-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z34311",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.