Val A Skorupko, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41216 Issued in CA

Practice address

490 Post St Ste 1528
San Francisco, CA 94102-1311

Phone

(415) 992-5160

NPI assigned

Aug 25, 2014

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

Other names 1

• Vadim Skorupko Professional 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.

• Vadim Skorupko DDS a Professional Corp

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1184808602
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1699175851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1528",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021311",
            "telephone_number": "415-992-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1528",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021311",
            "telephone_number": "415-992-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORUPKO",
        "first_name": "VAL",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VADIM",
            "last_name": "SKORUPKO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Jablon Skinner, M.D.
• Matthew Damon Skinta, PH.D.
• Natalie Skipworth, LCSW
• Igor Sklovskiy, D.C.
• Charles Edward Skomer, M.D.
• Tobi Skotnes
• Kevin Skotnicki, LCSW
• Madeleine Skousen, NP
• Matthew Skovgard, MD
• Alana Cory Toshiko Skovhus

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.