Frederica Jouliet Skormin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29576 Issued in TX

Practice address

995 Gulfgate Center Mall
Houston, TX 77087-3029

Phone

(713) 847-8822

NPI assigned

Jun 5, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in NY

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.

• Texas Dental Associates, PA

  • General Practice Dentistry
  • Houston, TX
  • NPI 1568683456
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1679953459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 AMHERST ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053207",
            "telephone_number": "713-490-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GULFGATE CENTER MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873029",
            "telephone_number": "713-847-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORMIN",
        "first_name": "FREDERICA",
        "middle_name": "JOULIET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. Skolkin, M.D.
• Alan William Skolnick, MD
• Arnold B Skor, MD
• Andee Skora, NP
• Lorrie Skora, RN
• Josh Chandler Skorupski, MD
• Elizabeth Skotnicki, NP
• Ferdinandos Skoulidis, M.D.
• Amelia Skouson, RN
• Sarah Catherine Skrove, PA-C

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Oct 3, 2019; 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.