Skanda Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SKANDA DENTAL PA

Doing business as

Premier Walk in Dental

Practice address

2070 US Highway 1 Ste 101
Rockledge, FL 32955-3745

Phone

(321) 631-4334

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sowmya Kumar, DMDNPI 1316354467

Title

PSTD

Phone

(321) 446-3634

Specialties & licenses 1

Addresses

Other names 1

• Premier Walk in Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sowmya Rao Kumar, DMD

  • General Practice Dentistry
  • Rockledge, FL
  • NPI 1316354467
  NPD (past) Authorized official
• James Christopher Love, D.M.D.

  • General Practice Dentistry
  • Rockledge, FL
  • NPI 1639392749
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1821553256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 US HIGHWAY 1 STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553745",
            "telephone_number": "321-631-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 US HIGHWAY 1 STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553745",
            "telephone_number": "321-631-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKANDA DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SOWMYA",
        "authorized_official_title_or_position": "PSTD",
        "authorized_official_telephone_number": "321-446-3634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Walk in Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Andrew Simonson, DPM
• Jasmine Roshae Simpson, OTA
• Alison Wolff Singer, APRN
• Alyson Singer
• Vanessa Singletary
• Skilled Physician Solutions LLC
• Alexys Lynn Sladyk, RBT
• Julie Slaughter
• Jennifer K. Slayton, LMHC
• Sleep Viera Treatment LLC (Smile Viera)

• Dental Clinic/Center in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.