Active NPI
Odalis P Skur, D.D.S.
- General Practice Dentistry
- Crowley, TX
National Provider Identifier
1235351495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20899
- Practice address
- 779 East FM 1187
Crowley, TX 76036 - Phone
- (817) 297-0058
- Fax
- (214) 297-7811
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20899 | TX | Primary |
Addresses
Primary practice location
779 East FM 1187
Crowley, TX 76036
Mailing address
779 East FM Hwy 1187
Crowley, TX 76036
Phone (817) 297-0058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159565401 | Medicaid | TX | |
| 20899 | Other | TX | CHIP NUMBER |
Other names 1
- Dr. Odalis P Skur
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20899 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowley Family Dental Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Modern Family Dental Hwy 1187
- Exclusive Provider Organization
- Crowley, TX
- NPI 1922423078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1235351495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 EAST FM HWY 1187",
"city": "CROWLEY",
"state": "TX",
"postal_code": "76036",
"telephone_number": "817-297-0058",
"fax_number": "817-297-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 EAST FM 1187",
"city": "CROWLEY",
"state": "TX",
"postal_code": "76036",
"telephone_number": "817-297-0058",
"fax_number": "214-297-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUR",
"first_name": "ODALIS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159565401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP NUMBER",
"identifier": "20899",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ODALIS",
"last_name": "SKUR",
"middle_name": "P",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.