Robert Lee Skinner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2752 Issued in AR

Practice address

2414 S 58TH St
Fort Smith, AR 72903-3827

Phone

(479) 452-3368

Fax

(479) 452-3316

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in AR

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert L Skinner DDS PA

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1962422204
  NPD (past) Authorized official
• J Brogan Lopez DDS PA

  • Dental Clinic/Center
  • Fort Smith, AR
  • NPI 1639804453
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245305721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S 58TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033827",
            "telephone_number": "479-452-3368",
            "fax_number": "479-452-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S 58TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033827",
            "telephone_number": "479-452-3368",
            "fax_number": "479-452-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SK & Ku Counseling
• Tyler Skeets, QBHP
• John Skelly, LPC
• Charla Skelton
• Clara Skinner, LPN
• Sky Blossom Logistics
• Slabbert & Associates, Inc.
• Christiaan Johannes Slabbert, M.D.
• Sleep Well Medical
• Carolyn Sue Slote, P.T.

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.