Skinner Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SKINNER FAMILY DENTISTRY, PC

Practice address

201 N Broad St Ste 204
Mankato, MN 56001-3569

Phone

(507) 345-4752

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Jason Skinner, DDSNPI 1689744898

Title

Owner/President

Phone

(641) 583-3449

Specialties & licenses 1

Addresses

Other names 1

• Skinner Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason T Skinner, DDS

  • General Practice Dentistry
  • Clear Lake, IA
  • NPI 1689744898
  NPD Authorized official
• James Daniel Connors, DDS

  • Dentist
  • Mankato, MN
  • NPI 1831288463
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1083397244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST STE 204",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013569",
            "telephone_number": "507-345-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST STE 204",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013569",
            "telephone_number": "507-345-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "641-583-3449",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skinner Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel L. Singh, M.D.
• Ripudamanjit Singh, MD
• Haley Sisson
• Tanya Sivertsen
• Phyllis I Skadahl, CNP
• Heidi Skophammer
• Theresa R Skrien, ATC
• Heather Slaba
• Amy E Slama, O.D.
• Kimberly Kay Slette, LICSW

• General Practice Dentistry in Mankato, MN
• Providers in Mankato, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.