Active NPI
Skibiel Hayre Berry, PLLC
- Dentist
- Mill Creek, WA
National Provider Identifier
1265741656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00007480
- Legal business name
- SKIBIEL HAYRE BERRY, PLLC
- Practice address
- 1025 153Rd St SE Ste 102
Mill Creek, WA 98012-4051 - Phone
- (425) 368-0608
- Fax
- (425) 368-0694
- NPI assigned
- Oct 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Patrick Skibiel, DDS
- Title
- Member
- Phone
- (425) 368-0608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00007480 | WA | Primary |
Addresses
Primary practice location
1025 153Rd St SE Ste 102
Mill Creek, WA 98012-4051
Mailing address
1025 153Rd St SE Ste 102
Mill Creek, WA 98012-4051
Phone (425) 368-0608
National Provider Directory
National Provider DirectoryLocations
1617 183rd St SE
#2
Mill Creek, WA 98012
Phone (425) 368-0608
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mill Creek, WA
- NPI 1124223201
-
- General Practice Dentistry
- Mill Creek, WA
- NPI 1306041496
-
- Dentist
- Bothell, WA
- NPI 1013585025
-
- General Practice Dentistry
- Mill Creek, WA
- NPI 1689879769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1265741656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 153RD ST SE STE 102",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980124051",
"telephone_number": "425-368-0608",
"fax_number": "425-368-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 153RD ST SE STE 102",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980124051",
"telephone_number": "425-368-0608",
"fax_number": "425-368-0694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIBIEL HAYRE BERRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-01",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "SKIBIEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "425-368-0608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "DE00007480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.