Individual provider Active NPI

Allen J Skibba, DDS

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1043250152
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4469-015 Issued in WI
Practice address
49 N Walbridge Ave
Madison, WI 53714-3506
Phone
(608) 246-2555
NPI assigned
Jun 7, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4469-015 WI Primary

Addresses

Primary practice location

49 N Walbridge Ave
Madison, WI 53714-3506

Mailing address

311 Bonnie Rd
Cottage Grove, WI 53527-9682

Other identifiers 1

IdentifierTypeStateIssuer
33751700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20170123001030 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5496939621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4469-015WIMDGeneral Practice Dentistry
4469WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontal & Implant Specialists of Madison, LLC Past Accepting new patients
Pediatric Dental Specialists of Madison LLC Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043250152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BONNIE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N WALBRIDGE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143506",
            "telephone_number": "608-246-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBBA",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4469-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33751700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.