NPIMap

Organization Active NPI

Dr Tina L Skinner DDS Ms PC

  • Dentist
  • Pueblo, CO
National Provider Identifier
1346798923
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9998 Issued in CO
Legal business name
DR TINA L SKINNER DDS MS PC
Practice address
2047 Columbia Dr
Pueblo, CO 81005-3279
Phone
(719) 566-0206
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Tina Skinner
Title
Owner
Phone
(719) 566-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9998 CO Primary

Addresses

Primary practice location

2047 Columbia Dr
Pueblo, CO 81005-3279

Mailing address

2047 Columbia Dr
Pueblo, CO 81005-3279

Other names 1

  • TLC Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Tina L Skinner DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2047 Columbia Dr
Pueblo, CO 81005
Phone (719) 566-0206

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1346798923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279",
            "telephone_number": "719-566-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TINA L SKINNER DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-566-0206"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.