Robert James Skiffey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018318 Issued in OH

Practice address

1 Park Center Dr
Suite 105
Wadsworth, OH 44281-7100

Phone

(330) 336-6611

Fax

(330) 336-6612

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205968948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 REGAL DR",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK CENTER DR",
            "address_2": "SUITE 105",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442817100",
            "telephone_number": "330-336-6611",
            "fax_number": "330-336-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIFFEY",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Showman Jr., CDCA
• Andrea Lynn Sidun
• Angela Jean Sims, MSSA, LSW
• Kimberly Tucker Siwik, LPCC
• Robert Skiffey
• Amy Smith
• Audriana Smith
• Stephani Smith
• SNF Wadsworth LLC (Golden Leaf Rehab & Nursing)
• Sadie-Lynn Marie Snyder

• General Practice Dentistry in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• General Practice Dentistry in Ohio

• 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.