Individual provider Active NPI

Karen Elizabeth Skoruppa-Key, DDS

  • General Practice Dentistry
  • Abilene, TX
National Provider Identifier
1679680342
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22465 Issued in TX
Practice address
2201 S. Danville Dr.
Abilene, TX 79605
Phone
(325) 268-4095
Fax
(325) 268-4117
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22465 TX
General Practice Dentistry 1223G0001X 22465 TX Primary

Addresses

Primary practice location

2201 S. Danville Dr.
Abilene, TX 79605

Mailing address

2201 S Danville Dr
Abilene, TX 79605
Phone (325) 268-4095

Other practice location 1

3882 S. Clack St.
Suite A
Abilene, TX 79606
Phone (325) 307-7730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1679680342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-268-4095",
            "fax_number": "325-268-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S. DANVILLE DR.",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-268-4095",
            "fax_number": "325-268-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3882 S. Clack St.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "79606",
            "country_code": "US",
            "telephone_number": "325-307-7730",
            "fax_number": "940-937-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKORUPPA-KEY",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22465",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.