Individual provider Active NPI

Nuthyla Sinada Skuja, D.D.S.

  • Pediatric Dentistry
  • West Grove, PA
National Provider Identifier
1710148259
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS038096 Issued in PA
Practice address
900 W Baltimore Pike
West Grove, PA 19390
Phone
(610) 869-9727
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414173 VA
Dentist 122300000X 1001311 DC
Dentist 122300000X 14971 MD
Dentist 122300000X D9989 OR
Pediatric Dentistry 1223P0221X 102166 CA
Pediatric Dentistry 1223P0221X DS038096 PA Primary

Addresses

Primary practice location

900 W Baltimore Pike
West Grove, PA 19390

Mailing address

527 Monument Ave
Malvern, PA 19355-2634
Phone (410) 963-2847

Other practice location 1

La Clinica, UCSF Benioff Children's Hospital
4881 Telegraph Avenue
Oakland, CA 94609
Phone (510) 428-3316

Other practice location 2

La Clinica, UCSF Benioff Children's Hospital
4881 Telegraph Avenue
Oakland, CA 94609
Phone (510) 428-3316

Other practice location 3

1791 Oak Ave Ste C
Davis, CA 95616
Phone (530) 756-7516

Other names 1

  • Dr. Nuthyla Ghazi Sinada Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
102166CAMDClinical Social Worker
1001311DCMDDentist
0401414173VAMDDentist
DS038096PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Bear Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation Pediatric Dentistry Past Accepting new patients

Locations

650 Carnegie Blvd
Ste 146
Malvern, PA 19355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1710148259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MONUMENT AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552634",
            "telephone_number": "410-963-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "19390",
            "telephone_number": "610-869-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "La Clinica, UCSF Benioff Children's Hospital",
            "address_2": "4881 Telegraph Avenue",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94609",
            "country_code": "US",
            "telephone_number": "510-428-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "La Clinica, UCSF Benioff Children's Hospital",
            "address_2": "4881 Telegraph Avenue",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94609",
            "country_code": "US",
            "telephone_number": "510-428-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1791 Oak Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "95616",
            "country_code": "US",
            "telephone_number": "530-756-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKUJA",
        "first_name": "NUTHYLA",
        "middle_name": "SINADA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414173",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1001311",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14971",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9989",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "102166",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUTHYLA",
            "last_name": "SINADA",
            "middle_name": "GHAZI",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.