J. Michael Skahan, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13354 Issued in MO

Practice address

1320 E Kingsley St
Suite B
Springfield, MO 65804-7216

Phone

(417) 881-5405

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mskahan694661@direct.ochin.org
• Direct secure messaging: james.skahan.p1@direct.jordanvalley.nextgenshare.com

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083713846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E KINGSLEY ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-881-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E KINGSLEY ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-881-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAHAN",
        "first_name": "J.",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "13354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Sirard, MD
• Consolacion Galsim Sison-Switala, MD
• William W. Sistrunk, MD
• Lori A Situ, SLP
• Molly Kay Six, PHD, LP
• Edward Skeins Jr., M.D.
• Barbara J Skibiski, CRNA
• Margaret M Skidmore, LPC
• Skilled Health Facilities, Inc.
• Abigail Michelle Skinner

• Periodontics in Springfield, MO
• Providers in Springfield, MO by specialty
• Periodontics in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.