Jeffrey James Styskal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7853 Issued in AZ

Practice address

606 Fisher St
Keesler Afb, MS 39534-2513

Phone

(228) 376-0511

NPI assigned

Aug 13, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffrey Styskal Dentistry PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1689403362
  NPD Authorized official

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1629200423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342513",
            "telephone_number": "228-376-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342513",
            "telephone_number": "228-376-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYSKAL",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick Smith, MD
• Nicholas Stinson, DO
• James Lewis Strawn IV, IDMT
• Kody Lee Stroschein, DO
• Michael Struthers
• Nathan Shane Sumner, M.D.
• Benjamin Louis Ten Eyck, MD
• Roger Shawn Thomas, MD
• Mathew Ray Thompson, CRNA
• Rachel Tindal, MD

• Dentist in Keesler Afb, MS
• Providers in Keesler Afb, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.