NPIMap

Organization Active NPI

K Ben Skerback

  • Dentist
  • Port Angeles, WA
National Provider Identifier
1134412257
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL6393 Issued in WA
Legal business name
K BEN SKERBACK
Practice address
218 So Laurel
Port Angeles, WA 98362
Phone
(360) 452-3808
Fax
(360) 452-6887
NPI assigned
May 23, 2011
Organization subpart
Yes
Parent organization
K BEN SKERBACK DDS PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Mr. Karl Benedict Skerbeck, DDS PS
Title
Owner, Dentist
Phone
(360) 452-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DL6393 WA Primary

Addresses

Primary practice location

218 So Laurel
Port Angeles, WA 98362

Mailing address

218 So Laurel
Port Angeles, WA 98362
Phone (360) 452-3808

National Provider Directory

National Provider Directory
Part of
K Ben Skerback

Locations

218 S Laurel St
Port Angeles, WA 98362
Phone (360) 452-3808

Practitioners & affiliated clinicians

Practitioners 1

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": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1134412257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SO LAUREL",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98362",
            "telephone_number": "360-452-3808",
            "fax_number": "360-452-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SO LAUREL",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98362",
            "telephone_number": "360-452-3808",
            "fax_number": "360-452-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K BEN SKERBACK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K BEN SKERBACK DDS PS",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "SKERBECK",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "BENEDICT",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "360-452-3808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS PS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DL6393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.