James Skousen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19756034 Issued in ID

Practice address

532 Pole Line Rd
Twin Falls, ID 83301-3042

Phone

(385) 831-9151

NPI assigned

Aug 29, 2011

Sex

Male

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 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

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1073894523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013042",
            "telephone_number": "385-831-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013042",
            "telephone_number": "385-831-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "19756034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marjorie Sirucek Adepoju, D.C.
• Anthony James Sirucek, D.C.
• Amanda Elizabeth Sisneros, MS CCC-SLP
• Sitman, Inc.
• Randall J Skeem
• Maya Josipa Skramoncin
• Melissa A Sleight, RDN, CSP, LD
• Randall J Slickers, M.D.
• Sliers
• Alexx Sliman, PA

• Dentist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.