Active NPI
Erik Paul Skoe
- Pediatric Dentistry
- Green Bay, WI
National Provider Identifier
1932804192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6001701
- Practice address
- 430 Main St
Green Bay, WI 54301-5115 - Phone
- (920) 431-0345
- NPI assigned
- Apr 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6001701 | WI | Primary |
Addresses
Primary practice location
430 Main St
Green Bay, WI 54301-5115
Mailing address
11711 W Burleigh St
Wauwatosa, WI 53222-3196
Phone (414) 771-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001701 | WI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | Pediatric Dentistry | Current | Accepting new patients |
Locations
430 Main St
Green Bay, WI 54301
Phone (920) 431-0345
11711 W Burleigh St
Wauwatosa, WI 53222
Phone (414) 771-2345
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1932804192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 W BURLEIGH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532223196",
"telephone_number": "414-771-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MAIN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543015115",
"telephone_number": "920-431-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOE",
"first_name": "ERIK",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "6001701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.