Active NPI
William E Skinner, DDS
- General Practice Dentistry
- Des Moines, IA
National Provider Identifier
1700899358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7913
- Practice address
- 5525 Meredith Drive
Suite a
Des Moines, IA 50310-2334 - Phone
- (515) 278-2888
- Fax
- (515) 253-9774
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7913 | IA | Primary |
Addresses
Primary practice location
5525 Meredith Drive
Suite a
Des Moines, IA 50310-2334
Mailing address
5525 Meredith Drive
Suite a
Des Moines, IA 50310-2334
Phone (515) 278-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1433755 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7913 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700899358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 MEREDITH DRIVE",
"address_2": "SUITE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503102334",
"telephone_number": "515-278-2888",
"fax_number": "515-253-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 MEREDITH DRIVE",
"address_2": "SUITE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503102334",
"telephone_number": "515-278-2888",
"fax_number": "515-253-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "7913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1433755",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.