Katie Sheridan Skarda, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401416478 Issued in VA

Practice address

12205 Gayton Rd Ste a
Henrico, VA 23238-3212

Phone

(804) 741-1400

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kathryn Jean Sheridan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• David W Merrell DDS MSD PLC

  dba West End Pediatric Dentistry

  • Pediatric Dentistry
  • Richmond, VA
  • NPI 1144627555
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1639669815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 GAYTON RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 GAYTON RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARDA",
        "first_name": "KATIE",
        "middle_name": "SHERIDAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "1639669815",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SHERIDAN",
            "middle_name": "JEAN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grant T Silvestri, PT
• Destiny R Simon
• Chenia Tyler Sims, MSW
• Harpreet Singh
• Sister's Connecting Hearts LLC.
• Skill Shaping ABA, LLC
• Skin Surgery Center of Virginia
• Benjamin E. Skowysz, LCSW, CSOTP
• SM Healthcare LLC
• Amy Toler Small, LPC

• Pediatric Dentistry in Henrico, VA
• Providers in Henrico, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.