Active NPI
Geoffrey A Skinner, D.D.S.
- Dentist
- Hillsboro, OR
National Provider Identifier
1306222427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10425
- Practice address
- 324 SE 9TH Ave Ste B
Hillsboro, OR 97123-4247 - Phone
- (503) 648-6671
- NPI assigned
- Jul 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10425 | OR | Primary |
| General Practice Dentistry | 1223G0001X | DDS-09230 | IA |
Addresses
Primary practice location
324 SE 9TH Ave Ste B
Hillsboro, OR 97123-4247
Mailing address
324 SE 9TH Ave Ste B
Hillsboro, OR 97123-4247
Phone (503) 648-6671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10425 | OR | MD | Dentist |
| DDS-09230 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1306222427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 SE 9TH AVE STE B",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234247",
"telephone_number": "503-648-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 SE 9TH AVE STE B",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234247",
"telephone_number": "503-648-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "GEOFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "10425",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-09230",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.