Individual provider Active NPI

Dean Sutherland Skelley, PH.D.

  • Contractor
  • San Antonio, TX
National Provider Identifier
1174826366
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
16330 Hidden View Street
San Antonio, TX 78232-2812
Phone
(210) 496-0367
NPI assigned
Dec 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

16330 Hidden View Street
San Antonio, TX 78232-2812

Mailing address

16330 Hidden View St
San Antonio, TX 78232-2812
Phone (210) 496-0367

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1174826366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16330 HIDDEN VIEW ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322812",
            "telephone_number": "210-496-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16330 HIDDEN VIEW STREET",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322812",
            "telephone_number": "210-496-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLEY",
        "first_name": "DEAN",
        "middle_name": "SUTHERLAND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.