Dr. Bill Skinner

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. BILL SKINNER

Practice address

611 E Main St
Panora, IA 50216-1097

Phone

(641) 755-3626

Fax

(641) 755-3699

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy R Goodrich

Title

Office Manager

Phone

(641) 755-3626

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689770067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "address_2": "PO BOX 274",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161097",
            "telephone_number": "641-755-3626",
            "fax_number": "641-755-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161097",
            "telephone_number": "641-755-3626",
            "fax_number": "641-755-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BILL SKINNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "641-755-3626"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433755",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Panora (Panora EMS)
• Stephanie Joy Cox, FNP
• Dallas County Hospital (DCH Family Medicine Panora)
• Emily Anne Donovan, LISW
• Rielly Doud, OTD
• Eye Care Associates, P.C.
• Donald Fillman, MD
• Genetivity, LLC the Lakeside Village (The Lakeside Village)
• Greene County Medical Center (Panora Medical Clinic)
• GRX Holdings, LLC (Medicap Pharmacy)

• General Practice Dentistry in Panora, IA
• Providers in Panora, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.