Richard Skjeveland, D.D.S, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02125700 Issued in NJ

Legal business name

RICHARD SKJEVELAND, D.D.S, P.C.

Practice address

328B Sparta Ave
Sparta, NJ 07871-1112

Phone

(973) 729-1106

Fax

(973) 729-8525

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard Skjeveland, D.D.S

Title

Owner, President

Phone

(973) 729-1106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801987672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328B SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711112",
            "telephone_number": "973-729-1106",
            "fax_number": "973-729-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328B SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711112",
            "telephone_number": "973-729-1106",
            "fax_number": "973-729-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SKJEVELAND, D.D.S, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKJEVELAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "973-729-1106",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02125700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.