NPIMap

Organization Active NPI

S4K Wilkes-Barre, LLC

  • Pediatric Dentistry
  • Wilkes Barre, PA
National Provider Identifier
1881356327
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
S4K WILKES-BARRE, LLC
Practice address
900 Schechter Dr
Wilkes Barre, PA 18702-6781
Phone
(570) 822-4181
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Michael E Skolnick, DMD
Title
President
Phone
(973) 715-5963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

900 Schechter Dr
Wilkes Barre, PA 18702-6781

Mailing address

900 Schechter Dr
Wilkes Barre, PA 18702-6781
Phone (570) 822-4181

Other identifiers 1

IdentifierTypeStateIssuer
1027491910003MedicaidPA

National Provider Directory

National Provider Directory

Locations

900 Schechter Dr
Wilkes Barre, PA 18702
Phone (570) 822-4181

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1881356327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SCHECHTER DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026781",
            "telephone_number": "570-822-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SCHECHTER DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026781",
            "telephone_number": "570-822-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S4K WILKES-BARRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-715-5963",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027491910003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.