Kristen D Skow

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5206 Issued in WI

Practice address

3101 Schneider Ave SE
Suite 1
Menomonie, WI 54751-2820

Phone

(715) 233-1400

NPI assigned

Mar 15, 2007

Sex

Female

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 WI

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

Practice roles

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.

• Cedar Creek Dental

  • General Practice Dentistry
  • Menomonie, WI
  • NPI 1043352495
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1114051687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SCHNEIDER AVE SE",
            "address_2": "SUITE 1",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512820",
            "telephone_number": "715-233-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SCHNEIDER AVE SE",
            "address_2": "SUITE 1",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512820",
            "telephone_number": "715-233-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOW",
        "first_name": "KRISTEN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Shields, MT
• Shoptikal LLC
• Steven R. Siegle, PSY.D.
• Simply Chiropractic, LLC
• Henry J. Simpson, M.D.
• Melissa Smith-Tourville
• Eric W. Sorenson, M.D.
• Jeff S Sorenson, RPH
• Soulutions Holistic Center & Institute LLC
• Krista L Spaeth, MS, MFT

• General Practice Dentistry in Menomonie, WI
• Providers in Menomonie, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.