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

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 and National Provider Directory roles.

• N Ozder DDS Inc

  • 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
• 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.