Teresa Jane Skalyo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0458141 Issued in NY

Practice address

404 William St
Geneva, NY 14456-2143

Phone

(315) 789-6057

Fax

(315) 789-6084

NPI assigned

Mar 27, 2007

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1023136280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SKUSE RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569325",
            "telephone_number": "585-797-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WILLIAM ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562143",
            "telephone_number": "315-789-6057",
            "fax_number": "315-789-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALYO",
        "first_name": "TERESA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0458141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine C Shultz, MS SLP-CCC
• Sia N. Hersini, DMD, PC
• Patricia Ann Siegel, OTRL
• Jamie Simon
• Kavena Sivakumar, MD
• Michael T Skelly, D.P.T.
• Cynthia Skovrinski, FNPC MS
• Amber Lynn Sliski, L.P.N.
• Kileen Mary Smith
• Lisa A Smith

• Dentist in Geneva, NY
• Providers in Geneva, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.