Joel Reuben Skousen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13072 Issued in NC

Practice address

473 Wood St
Troy, NC 27371-2849

Phone

(910) 572-2811

Fax

(910) 572-2319

NPI assigned

Jun 25, 2015

Last updated

Dec 5, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skousen Dental, PLLC

  dba Heritage Dental Studio

  • Dental Clinic/Center
  • Frisco, TX
  • NPI 1417598566
  NPD Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1265814297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WOOD ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712849",
            "telephone_number": "910-572-2811",
            "fax_number": "910-572-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 WOOD ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712849",
            "telephone_number": "910-572-2811",
            "fax_number": "910-572-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12828 Eldorado Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750355881",
            "country_code": "US",
            "telephone_number": "469-535-6516",
            "fax_number": "469-530-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 W Fm 544",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750984938",
            "country_code": "US",
            "telephone_number": "972-426-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "JOEL",
        "middle_name": "REUBEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31046",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennith M Shamberger
• Carol Marie Shepard, LCSWA
• Renee Lynn Sheppard, LCSW
• Geoffrey Brown Shiver, PHARM.D.
• Lillian Sizemore
• Paula Jules Sorrell, DDS
• Stanlex, Inc. (Home Care of the Carolinas)
• Stanly Medical Services (Troy Medical Services)
• Taressa Ailene Stanton, FNP-C
• Mary Amanda Surratt, LMBT

• General Practice Dentistry in Troy, NC
• Providers in Troy, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.