Organization Active NPI

Skinner Family Dentistry

  • Clinic/Center
  • Sherwood, AR
National Provider Identifier
1508488255
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKINNER FAMILY DENTISTRY
Doing business as
Skinner Family Dentistry
Practice address
312 E Kiehl Ave
Sherwood, AR 72120-2922
Phone
(501) 992-2020
Fax
(501) 992-2021
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Mrs. Lorie Denise Davis
Title
Office Manager
Phone
(501) 992-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

312 E Kiehl Ave
Sherwood, AR 72120-2922

Mailing address

312 E Kiehl Ave
Sherwood, AR 72120-2922
Phone (501) 992-2020

Other names 1

  • Skinner Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

312 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 992-2020

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1508488255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202922",
            "telephone_number": "501-992-2020",
            "fax_number": "501-992-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202922",
            "telephone_number": "501-992-2020",
            "fax_number": "501-992-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-992-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skinner Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.