Organization Active NPI

Skuld, PC

Doing business as Lovers Smile Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1881150639
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SKULD, PC
Doing business as
Lovers Smile Dental
Practice address
5111 Greenville Ave Ste 134
Dallas, TX 75206-3928
Phone
(972) 629-9693
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Sigurd Enoksen, DDS
Title
Owner
Phone
(972) 629-9693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5111 Greenville Ave Ste 134
Dallas, TX 75206-3928

Mailing address

5111 Greenville Ave Ste 134
Dallas, TX 75206-3928
Phone (972) 629-9693

Other identifiers 1

IdentifierTypeStateIssuer
16049OtherTXTSBDE

Other names 1

  • Lovers Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5111 Greenville Ave
Ste 134
Dallas, TX 75206
Phone (972) 629-9693

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": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1881150639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 GREENVILLE AVE STE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063928",
            "telephone_number": "972-629-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 GREENVILLE AVE STE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063928",
            "telephone_number": "972-629-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKULD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "ENOKSEN",
        "authorized_official_first_name": "SIGURD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-629-9693",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "16049",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovers Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.