Organization Active NPI

Skyline Healthy Smiles Family Dental PA

Doing business as skyline healthy smiles

  • Dental Clinic/Center
  • Wilmington, DE
National Provider Identifier
1154164333
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SKYLINE HEALTHY SMILES FAMILY DENTAL PA
Doing business as
skyline healthy smiles
Practice address
5500 Skyline Dr Ste 2
Wilmington, DE 19808-1772
Phone
(267) 421-2073
NPI assigned
Jun 17, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Madhavi Karnam, DMDNPI 1245562966
Title
Dentist
Phone
(267) 421-2073

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 1

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

Addresses

Primary practice location

5500 Skyline Dr Ste 2
Wilmington, DE 19808-1772

Mailing address

5500 Skyline Dr Ste 2
Wilmington, DE 19808-1772
Phone (267) 421-2073

Other names 1

  • skyline healthy smiles Doing business as

National Provider Directory

National Provider Directory

Locations

5500 Skyline Dr
Ste 2
Wilmington, DE 19808
Phone (267) 421-2073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1154164333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "267-421-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "267-421-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE HEALTHY SMILES FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "KARNAM",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "267-421-2073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "skyline healthy smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.