Active NPI
Daniel W Skinner, DDS, MS
- Oral and Maxillofacial Surgery (Dentist)
- Spokane Valley, WA
National Provider Identifier
1003902990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE00007911
- Practice address
- 12509 E Mission Ave
Ste 101
Spokane Valley, WA 99216-1049 - Phone
- (509) 928-3600
- Fax
- (509) 922-7244
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE00007911 | WA | Primary |
Addresses
Primary practice location
12509 E Mission Ave
Ste 101
Spokane Valley, WA 99216-1049
Mailing address
12509 E Mission Ave
Ste 101
Spokane Valley, WA 99216-1049
Phone (509) 928-3600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132958 | Other | WA | L&I |
| 8926698 | Other | WA | VICTIMS OF CRIME |
| 5026224 | Medicaid | WA | |
| 57911 | Other | WA | WDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 28, 2016 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Daniel W Skinner, P.S. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Spokane Valley, WA
- NPI 1811083793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003902990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 E MISSION AVE",
"address_2": "STE 101",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161049",
"telephone_number": "509-928-3600",
"fax_number": "509-922-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12509 E MISSION AVE",
"address_2": "STE 101",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161049",
"telephone_number": "509-928-3600",
"fax_number": "509-922-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "DANIEL",
"middle_name": "W",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE00007911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "132958",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VICTIMS OF CRIME",
"identifier": "8926698",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5026224",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WDS",
"identifier": "57911",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.