Organization Active NPI

Carla Ellen Skaates DDS PC

Doing business as Superior Dental Care

  • Dental Clinic/Center
  • Marquette, MI
National Provider Identifier
1356078786
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CARLA ELLEN SKAATES DDS PC
Doing business as
Superior Dental Care
Practice address
1320 W Ridge St
Marquette, MI 49855-3194
Phone
(906) 228-9592
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Carla Ellen Skaates, DDS PCNPI 1922046465
Title
Dentist
Phone
(906) 228-9592

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1320 W Ridge St
Marquette, MI 49855-3194

Mailing address

1320 W Ridge St
Marquette, MI 49855-3194
Phone (906) 228-9592

Other names 1

  • Superior Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1356078786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W RIDGE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-9592",
            "fax_number": "906-228-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W RIDGE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA ELLEN SKAATES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SKAATES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "906-228-9592",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.