Calvin Tyler Skinner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4871762 Issued in ID

Practice address

1175 E Parkcenter Blvd
Boise, ID 83706-6751

Phone

(208) 888-5544

NPI assigned

Aug 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riverview Dental PLLC

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1942919139
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1801406731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E JADE CREEK ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167521",
            "telephone_number": "208-987-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066751",
            "telephone_number": "208-888-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 BLVD Defrance",
            "address_purpose": "LOCATION",
            "city": "MCRD Parris Island",
            "state": "SC",
            "postal_code": "29905",
            "country_code": "US",
            "telephone_number": "843-228-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 E Mallard Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837063975",
            "country_code": "US",
            "telephone_number": "208-342-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CALVIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "4871762",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11305",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Skaggs, REGISTERED NURSE RN
• Sophia Skarvan
• Kristi Skeem, LPC, ACADC, NCC
• Katherine Skelly, P.A.
• Kaycee Skelton
• Daniel Christopher Skinner, LPC
• Dixie Jean Skinner, NP-C
• Frank Skobel
• Nate Skousen, DMD
• Megan Skovgard

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.