NPIMap

Organization Active NPI

Don E. Skaff, DDS, Inc.

Doing business as Kanawha Citiy Pediatric Dentistry

  • Pediatric Dentistry
  • Charleston, WV
National Provider Identifier
1740621036
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2869 Issued in WV
Legal business name
DON E. SKAFF, DDS, INC.
Doing business as
Kanawha Citiy Pediatric Dentistry
Practice address
4502 Maccorkle Ave SE
Suite C
Charleston, WV 25304-1835
Phone
(304) 926-9260
Fax
(304) 926-9266
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Don E Skaff, DDSNPI 1831153378
Title
Owner
Phone
(304) 926-9260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2869 WV Primary

Addresses

Primary practice location

4502 Maccorkle Ave SE
Suite C
Charleston, WV 25304-1835

Mailing address

4502 Maccorkle Ave SE
Suite C
Charleston, WV 25304-1835
Phone (304) 926-9260

Other identifiers 1

IdentifierTypeStateIssuer
0138545000MedicaidWV

Other names 1

  • Kanawha Citiy Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1740621036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-926-9260",
            "fax_number": "304-926-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-926-9260",
            "fax_number": "304-926-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON E. SKAFF, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-926-9260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WV",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138545000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kanawha Citiy Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.