John Brandon Skenandore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103891 Issued in CA

Practice address

5247 Lampson Ave
Garden Grove, CA 92845-1953

Phone

(714) 893-2453

NPI assigned

Jun 28, 2019

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

Practice roles

Locations

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

• John Skenandore DDS a Professional Corporation

  • Dental Clinic/Center
  • Garden Grove, CA
  • NPI 1396490181
  NPD Authorized official
• Jonathan Cho DDS, Inc

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1538522909
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1093377111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451953",
            "telephone_number": "714-893-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451953",
            "telephone_number": "714-893-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKENANDORE",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.