Gregory C Skinner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29797 Issued in CA

Practice address

250 S Lyon Ave
Suite #B
Hemet, CA 92543-3850

Phone

(951) 658-2354

Fax

(951) 929-8955

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 UT

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

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

• N Ozder DDS Inc

  dba Diamond Lake Dental

  • Dental Clinic/Center
  • Hemet, CA
  • NPI 1922580844
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962512905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S LYON AVE",
            "address_2": "SUITE #B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433850",
            "telephone_number": "951-658-2354",
            "fax_number": "951-929-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S LYON AVE",
            "address_2": "SUITE #B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433850",
            "telephone_number": "951-658-2354",
            "fax_number": "951-929-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajeet Raj Singhvi, M.D.
• Gaurav Singhvi, MD
• Randi Lynn Singleton
• Bradley Norman Sirois, O.D.
• Mark Alan Skaar, RPH
• Shelbi Skinner
• Tania Skipper
• Sleep Diagnostics of the Coachella Valley, LLC (Sleep Disorders of Hemet)
• Alan Small, RPH
• Albertina D Smith-Banks, MD

• General Practice Dentistry in Hemet, CA
• Providers in Hemet, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.