Organization Active NPI

Zachary T. Skabelund, DDS, Ms, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, OH
National Provider Identifier
1346085107
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ZACHARY T. SKABELUND, DDS, MS, LLC
Practice address
1242 Nilles Rd
Fairfield, OH 45014-2912
Phone
(513) 829-7045
Fax
(513) 829-7371
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Lamont JacobsNPI 1952521478
Title
Office Manager
Phone
(513) 829-7045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1242 Nilles Rd
Fairfield, OH 45014-2912

Mailing address

1242 Nilles Rd
Fairfield, OH 45014-2912

National Provider Directory

National Provider Directory

Locations

1242 Nilles Rd
Fairfield, OH 45014
Phone (513) 829-7045

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1346085107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142912",
            "telephone_number": "513-829-7045",
            "fax_number": "513-829-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY T. SKABELUND, DDS, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-829-7045"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.