Jane Skuben-Vadkerti, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51521 Issued in CA

Practice address

1690 N Placentia Ave Ste a
Fullerton, CA 92831-5527

Phone

(714) 528-0600

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jane Elizabeth Skuben Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dr. Jane Skuben D.D.S.

  • General Practice Dentistry
  • Fullerton, CA
  • NPI 1841496627
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1003841438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 N PLACENTIA AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N PLACENTIA AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315527",
            "telephone_number": "714-528-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBEN-VADKERTI",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SKUBEN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine R Sisson
• Chandrakanthi Y Sivalingam, M.D.
• Roger William Skebelsky, PA-C
• Madonna Michelle Weber Skinas
• Quint Skipton, P.A.-C
• Alice Skuben, D.D.S.
• Tamra Lyn Slanker, PT, DPT, CSCS
• Monique Slater
• Stuart Donald Slater
• Myles Slattery

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.