Active NPI
Tony Lewis Skanchy, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Riverton, UT
National Provider Identifier
1477910503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 87026479921
- Practice address
- 4013 W 13400 S
Riverton, UT 84096-6410 - Phone
- (385) 210-1111
- NPI assigned
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 87026479921 | UT | Primary |
Addresses
Primary practice location
4013 W 13400 S
Riverton, UT 84096-6410
Mailing address
4013 W 13400 S
Riverton, UT 84096-6410
Phone (385) 210-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87026479921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1477910503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 W 13400 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840966410",
"telephone_number": "385-210-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 W 13400 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840966410",
"telephone_number": "385-210-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKANCHY",
"first_name": "TONY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-20",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "87026479921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.