Individual provider Active NPI

Erik Pahl Skatvold, DDS

  • General Practice Dentistry
  • Moorhead, MN
National Provider Identifier
1154429272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11422 Issued in MN
Practice address
1401 8TH St S
Moorhead, MN 56560-3605
Phone
(218) 236-5466
Fax
(218) 236-4948
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11422 MN Primary

Addresses

Primary practice location

1401 8TH St S
Moorhead, MN 56560-3605

Mailing address

1401 8TH St S
Moorhead, MN 56560-3605
Phone (218) 236-5466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11422MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154429272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603605",
            "telephone_number": "218-236-5466",
            "fax_number": "218-236-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603605",
            "telephone_number": "218-236-5466",
            "fax_number": "218-236-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKATVOLD",
        "first_name": "ERIK",
        "middle_name": "PAHL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.