Organization Active NPI

Skytland Perio PLLC

  • Periodontics
  • Bismarck, ND
National Provider Identifier
1457276297
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SKYTLAND PERIO PLLC
Practice address
1142 W Capitol Ave
Bismarck, ND 58501-1306
Phone
(701) 222-8760
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Brady Skytland, DMDNPI 1881460970
Title
Managing Member
Phone
(701) 222-8760

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1142 W Capitol Ave
Bismarck, ND 58501-1306

Mailing address

1142 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 222-8760

National Provider Directory

National Provider Directory

Locations

1142 W Capitol Ave
Bismarck, ND 58501
Phone (701) 222-8760

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1457276297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-222-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-222-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYTLAND PERIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SKYTLAND",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "701-222-8760",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.