Individual provider Active NPI

Britni Skoda, DMD

  • Dentist
  • Beachwood, OH
National Provider Identifier
1306333018
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025444 Issued in OH
Practice address
23300 Chagrin Blvd Ste G10
Beachwood, OH 44122-5536
Phone
(216) 464-1180
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 30.025444 OH Primary

Addresses

Primary practice location

23300 Chagrin Blvd Ste G10
Beachwood, OH 44122-5536

Mailing address

23300 Chagrin Blvd Ste G10
Beachwood, OH 44122-5536
Phone (216) 464-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180723000844 OH Order and Referring Only - DentistPractitioner - Dentist 5395092381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025444OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Britni L. Skoda DMD LLC CurrentSince Dec 22, 2019 Accepting new patients

Locations

23300 Chagrin Blvd
Ste G10
Beachwood, OH 44122
Phone (216) 464-1180

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1306333018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 CHAGRIN BLVD STE G10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225536",
            "telephone_number": "216-464-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 CHAGRIN BLVD STE G10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225536",
            "telephone_number": "216-464-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODA",
        "first_name": "BRITNI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.