Organization Active NPI

Skyline Dental Care

  • Dental Clinic/Center
  • Front Royal, VA
National Provider Identifier
1104472505
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SKYLINE DENTAL CARE
Practice address
292 Remount Rd
Front Royal, VA 22630-2145
Phone
(540) 692-1012
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Ayman Adeeb
Title
Owner
Phone
(831) 869-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

292 Remount Rd
Front Royal, VA 22630-2145

Mailing address

292 Remount Rd
Front Royal, VA 22630-2145

Other practice location 1

292 Remount Rd
Front Royal, VA 22630-2145
Phone (540) 692-1012

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL valleydentalandorthofrontroyal@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

292 Remount Rd
Front Royal, VA 22630
Phone (530) 692-1012

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1104472505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 REMOUNT RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 REMOUNT RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302145",
            "telephone_number": "540-692-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302145",
            "country_code": "US",
            "telephone_number": "540-692-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYLINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "ADEEB",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-869-3641"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "valleydentalandorthofrontroyal@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "292 Remount Rd",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.