Individual provider Active NPI

William Robert Skarie, DDS

  • Dentist
  • Weston, WI
National Provider Identifier
1295722361
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5001661 Issued in WI
Practice address
5806 Amir Dr
Weston, WI 54476-4266
Phone
(715) 359-3200
Fax
(715) 359-7778
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5001661 WI Primary

Addresses

Primary practice location

5806 Amir Dr
Weston, WI 54476-4266

Mailing address

5806 Amir Dr
Weston, WI 54476-4266
Phone (715) 359-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20160405001577 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981901071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001661WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Skarie DDS SC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1295722361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 AMIR DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764266",
            "telephone_number": "715-359-3200",
            "fax_number": "715-359-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 AMIR DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764266",
            "telephone_number": "715-359-3200",
            "fax_number": "715-359-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARIE",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.