Individual provider Active NPI

David Skopp, DDS

  • Prosthodontics
  • Palm Beach Gardens, FL
National Provider Identifier
1164540407
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN12464 Issued in FL
Practice address
2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335
Phone
(561) 799-5000
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10574 MD
Prosthodontics 1223P0700X DN12464 FL Primary

Addresses

Primary practice location

2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335

Mailing address

2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335
Phone (561) 799-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160113002391 FL Order and Referring Only - DentistPractitioner - Dentist 9133357817
O20250707001571 FL DME Supplier - Oral Surgery - Dentist 3173037801 Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10574MDMDDentist
DN12464FLMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dental Sleepcare of Palm Beach Gardens Prosthodontics Current Accepting new patients
Katie Skopp PastSince Apr 17, 2022 Accepting new patients

Locations

2560 Rca Blvd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 799-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1164540407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "561-799-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "561-799-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOPP",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10574",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN12464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.