Michelle Y Skierkowski, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9595 Issued in OR

Practice address

11790 SW Barnes Rd
280
Portland, OR 97225-5934

Phone

(503) 626-9700

NPI assigned

Oct 12, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Michelle Y Kurkowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• World of Smiles, Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1801183488
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1285723676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 SW BURLINGAME PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392686",
            "telephone_number": "734-645-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD",
            "address_2": "280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "503-626-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIERKOWSKI",
        "first_name": "MICHELLE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019090",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 60113228",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KURKOWSKI",
            "middle_name": "Y",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kailey Skelton, PHARMD
• Kathryn Skelton
• Roza Skenderova
• Jennifer Skiba
• Andrew Allen Skidmore
• Angela Skiles
• Kimberly Nicole Skillicorn, PSYD
• Anne Nguyen Skinner, DO
• Carrie Annie Skinner, N.D.
• Katherine Rose Skinner

• Pediatric Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.