Jay Michael Skipper, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30651 Issued in TX

Practice address

2050 FM 423 Apt 4407
Little Elm, TX 75068-6982

Phone

(727) 212-1820

NPI assigned

Jul 27, 2006

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1598789067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 FM 423 APT 4407",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686982",
            "telephone_number": "727-212-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FM 423 APT 4407",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686982",
            "telephone_number": "727-212-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0017567",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taek Soo Shin, M.D.
• Paul Sienkiewich, DPT
• Aqsa Iqbal Sindhu
• Marian Jeanette Singleton, M.S., CCC-SLP
• Eden T Sirak, MD
• David A Slater, MD
• Erika Slater, SLP
• Amanda Smith
• Lauren Taylor Smith
• Shannon Smtih

• General Practice Dentistry in Little Elm, TX
• Providers in Little Elm, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.