Skinnerchudleigh DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

10514 Issued in CO

Legal business name

SKINNERCHUDLEIGH DMD LLC

Practice address

1760 Centennial Dr
Louisville, CO 80027-1302

Phone

(303) 665-7505

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Chuck Skinner, DMD

Title

Owner/Dentist

Phone

(303) 665-7505

Specialties & licenses 4

Addresses

Other names 1

• Louisville Dental Associates Doing business as

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1851882971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CENTENNIAL DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271302",
            "telephone_number": "303-665-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTENNIAL DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271302",
            "telephone_number": "303-665-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNERCHUDLEIGH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-665-7505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10514",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "201865",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104857",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Sims, MA CCC-SLP
• Josh Sisk
• Hilary Teressa Skellon, DIPL.AC
• Skin PC
• Chuck Skinner, DMD
• Skinwise Dermatology Clinic, P.C.
• Robert J. Skoretz, D.M.D.
• Christie Slattery, MA, LPC
• Smart Therapy
• Dahlia Smith, LCSW

• Dentist in Louisville, CO
• Providers in Louisville, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.