Active NPI
Robert Skiffey
- Dentist
- Wadsworth, OH
National Provider Identifier
1235518317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.024478
- Practice address
- 1 Park Center Dr Ste 105
Wadsworth, OH 44281-9482 - Phone
- (330) 336-6611
- NPI assigned
- May 22, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30.024478 | OH | Primary |
Addresses
Primary practice location
1 Park Center Dr Ste 105
Wadsworth, OH 44281-9482
Mailing address
1 Park Center Dr Ste 105
Wadsworth, OH 44281-9482
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 |
|---|---|---|---|
| 30.024478 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1235518317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK CENTER DR STE 105",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK CENTER DR STE 105",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819482",
"telephone_number": "330-336-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIFFEY",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.024478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.