Active NPI
Daniel Ryan Skaggs
- Dentist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN00203667
- Practice address
- 3755 Briargate Blvd Ste 200
Colorado Springs, CO 80920-4194 - Phone
- (719) 434-5800
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN00203667 | CO | Primary |
Addresses
Primary practice location
3755 Briargate Blvd Ste 200
Colorado Springs, CO 80920-4194
Mailing address
3755 Briargate Blvd Ste 200
Colorado Springs, CO 80920-4194
Phone (719) 434-5800
Other practice location 1
1628 W 3rd Ave
Williamson, WV 25661-3007
Phone (304) 236-2366
Other practice location 2
4451 Venetucci Blvd Unit 160
Colorado Springs, CO 80906-4056
Phone (719) 392-5354
Other practice location 3
111 Heritage Sq
Sellersburg, IN 47172-1863
Phone (812) 248-4880
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 |
|---|---|---|---|
| DEN00203667 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Skaggs DMD PLLC | Current | Accepting new patients | |
| TDS in Three LLC | Current | Accepting new patients | |
| Rangewood Dental | Dentist | Past | Accepting new patients |
| Jason R Long DDS, PLLC | Single Specialty | Past | Accepting new patients |
Locations
3755 Briargate Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 434-5800
111 Heritage Sq
Sellersburg, IN 47172
Phone (812) 248-4880
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Colorado Springs, CO
- NPI 1215688338
-
- Dental Clinic/Center
- Sellersburg, IN
- NPI 1205467511
-
- Dentist
- Colorado Springs, CO
- NPI 1902202435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1730675588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 BRIARGATE BLVD STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204194",
"telephone_number": "719-434-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 BRIARGATE BLVD STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204194",
"telephone_number": "719-434-5800"
}
],
"practiceLocations": [
{
"address_1": "1628 W 3rd Ave",
"address_purpose": "LOCATION",
"city": "Williamson",
"state": "WV",
"postal_code": "256613007",
"country_code": "US",
"telephone_number": "304-236-2366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4451 Venetucci Blvd Unit 160",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064056",
"country_code": "US",
"telephone_number": "719-392-5354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Heritage Sq",
"address_purpose": "LOCATION",
"city": "Sellersburg",
"state": "IN",
"postal_code": "471721863",
"country_code": "US",
"telephone_number": "812-248-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKAGGS",
"first_name": "DANIEL",
"middle_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "DEN00203667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.