Active NPI
Larisse Skene, DMD
- Periodontics
- Murray, UT
National Provider Identifier
1780840884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 70080289921
- Practice address
- 166 E 5900 S Ste B101
Murray, UT 84107-7271 - Phone
- (801) 270-7070
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 70080289921 | UT | Primary |
Addresses
Primary practice location
166 E 5900 S Ste B101
Murray, UT 84107-7271
Mailing address
5804 S Cove Creek LN
Murray, UT 84107-6646
Phone (801) 652-7256
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 |
|---|---|---|---|
| 70080289921 | UT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Melvin K. Knight, Inc | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Salt Lake City, UT
- NPI 1487797593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1780840884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 S COVE CREEK LN",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076646",
"telephone_number": "801-652-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E 5900 S STE B101",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077271",
"telephone_number": "801-270-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKENE",
"first_name": "LARISSE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "UT",
"license": "70080289921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.