Active NPI
Michelle Skaff, DDS
- General Practice Dentistry
- Adrian, MN
National Provider Identifier
1730618612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7380
- Practice address
- 113 Maine Ave
Adrian, MN 56110-1192 - Phone
- (507) 483-2101
- Fax
- (507) 827-0805
- NPI assigned
- Jun 5, 2017
- Last updated
- Oct 28, 2019
- Sex
- Female
- 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 | 7380 | NE | Primary |
Addresses
Primary practice location
113 Maine Ave
Adrian, MN 56110-1192
Mailing address
501 Park Ave Apt 200
Omaha, NE 68105-2727
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 |
|---|---|---|---|
| 7380 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1730618612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 PARK AVE APT 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MAINE AVE",
"city": "ADRIAN",
"state": "MN",
"postal_code": "561101192",
"telephone_number": "507-483-2101",
"fax_number": "507-827-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAFF",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.