Skylar Paul Maxwell, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2025002238 Issued in MO

Practice address

1009 E 20TH St
Joplin, MO 64804-2204

Phone

(417) 623-2440

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Centerton Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Centerton, AR
  • NPI 1043101116
  NPD Authorized official
• Ozark Family Dental, LLC

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1619747573
  NPD
• Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC

  • Pediatric Dentistry
  • Bentonville, AR
  • NPI 1871951525
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1740950575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042204",
            "telephone_number": "417-623-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042204",
            "telephone_number": "417-623-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SKYLAR",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2025002238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smilesarewild.com",
            "affiliation": "N",
            "address_1": "1607 E Rainforest Rd",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727035385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Matlock, PT, DPT
• Susan Kay Matthews
• Chance Lee Matthiesen, M.D.
• Harold Craig Maxey, MD
• Jason Lee Maxfield, M.D.
• Dorianne Celine May, CRNA
• Joseph Wayne May
• Cortney Mayberry, DPT
• Danla Gailee J Mayberry, ATC, LAT
• Jenson Maydew

• Orthodontics and Dentofacial Orthopedics Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.