Carla Ellen Skaates, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017707 Issued in MI

Practice address

1320 W Ridge St
Marquette, MI 49855-3194

Phone

(906) 228-9592

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carla Ellen Skaates DDS PC

  • Dental Clinic/Center
  • Marquette, MI
  • NPI 1356078786
  NPD Authorized official
• Katelyn E. Wetton, DDS, PC

  • General Practice Dentistry
  • Marquette, MI
  • NPI 1801758792
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1922046465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W RIDGE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W RIDGE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAATES",
        "first_name": "CARLA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Simpson, LMSW
• Janet M Simula, CRNA
• Jennifer Margaret Simula, M.A.
• Singletrack Health, PC
• Michael Sippola
• Peter Skellenger
• Ann M Skewis, FNP-BC
• Jade Skowronek, CHW
• Jaclyn Skradski
• Samuel J Skradski

• General Practice Dentistry in Marquette, MI
• Providers in Marquette, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.