Nikola Skakavac, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25218 Issued in FL

Practice address

6921 W Newberry Rd
Gainesville, FL 32605-4407

Phone

(352) 333-7788

NPI assigned

Jul 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minsung Son DMD PA

  • General Practice Dentistry
  • Gainesville, FL
  • NPI 1043706153
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1528676541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SW 16TH ST APT 17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081437",
            "telephone_number": "727-512-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054407",
            "telephone_number": "352-333-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAKAVAC",
        "first_name": "NIKOLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Siuda
• Larrow Anthony Sivick, RPH
• Six.Four.Six Transport LLC
• Meggen Tucker Sixbey, PHD, LMHC, NCC
• Torey Skaar, CNM
• Linda H Skalsky, MSN, ARNP-BC
• Katie S Skemp
• Makayla Skidmore
• Richard P Skidmore, PHARMD
• Robert Skidmore Jr., M.D.

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Dentistry in Florida

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