Organization Active NPI

Antigone Skoulas DDS

Doing business as Skoulas DDS - The SF Cosmetic Dentist

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1851114813
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANTIGONE SKOULAS DDS
Doing business as
Skoulas DDS - The SF Cosmetic Dentist
Practice address
450 Sutter St RM 1616
San Francisco, CA 94108-4005
Phone
(415) 730-4450
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Antigone Skoulas, DDSNPI 1174853212
Title
Dentist/Owner
Phone
(415) 730-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

450 Sutter St RM 1616
San Francisco, CA 94108-4005

Mailing address

450 Sutter St RM 1616
San Francisco, CA 94108-4005
Phone (415) 730-4450

Other names 1

  • Skoulas DDS - The SF Cosmetic Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 1616
San Francisco, CA 94108
Phone (415) 730-4450

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1851114813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1616",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084005",
            "telephone_number": "415-730-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1616",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084005",
            "telephone_number": "415-730-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIGONE SKOULAS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SKOULAS",
        "authorized_official_first_name": "ANTIGONE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "415-730-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skoulas DDS - The SF Cosmetic Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.