NPIMap

Organization Active NPI

Skyway Dental Clinic, P.L.L.C.

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1144307232
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9274 Issued in MN
Legal business name
SKYWAY DENTAL CLINIC, P.L.L.C.
Practice address
250 2ND Ave S.
Suite 250
Minneapolis, MN 55401
Phone
(612) 338-4122
Fax
(612) 338-1713
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Dr. Margaret Craven Thompson, DDSNPI 1033630371
Title
Owner Dentist
Phone
(612) 338-4122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D9274 MN Primary

Addresses

Primary practice location

250 2ND Ave S.
Suite 250
Minneapolis, MN 55401

Mailing address

250 2ND Ave S, Suite 250
Minneapolis, MN 55401
Phone (612) 338-4122

Other names 2

  • Skyway Dental Clinic Doing business as
  • Dr. Fredrick R Schilling DDS PA Former legal business name

National Provider Directory

National Provider Directory

Locations

250 2nd Ave S
Ste 250
Minneapolis, MN 55401
Phone (612) 338-4122

Practitioners & affiliated clinicians

Practitioners 3

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1144307232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND AVE S, SUITE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "612-338-4122",
            "fax_number": "612-338-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND AVE S.",
            "address_2": "SUITE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "612-338-4122",
            "fax_number": "612-338-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWAY DENTAL CLINIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "CRAVEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "612-338-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyway Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyway Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Fredrick R Schilling DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.