Active NPI
Trevor Michael Skinner, DDS
- Dentist
- Sharpsville, PA
National Provider Identifier
1972007961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044062
- Practice address
- 60 N Mercer Ave
Sharpsville, PA 16150-2244 - Phone
- (724) 247-0167
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1494 | WY | |
| Dentist | 122300000X | DS044062 | PA | Primary |
Addresses
Primary practice location
60 N Mercer Ave
Sharpsville, PA 16150-2244
Mailing address
201 Walterscheid Blvd Apt 6-308
Cheyenne, WY 82007-2046
Phone (307) 887-5249
Other practice location 1
2316 Dell Range Blvd Ste A
Cheyenne, WY 82009-5192
Phone (307) 514-5177
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 |
|---|---|---|---|
| 1494 | WY | MD | Counselor |
| DS044062 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1972007961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 WALTERSCHEID BLVD APT 6-308",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820072046",
"telephone_number": "307-887-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N MERCER AVE",
"city": "SHARPSVILLE",
"state": "PA",
"postal_code": "161502244",
"telephone_number": "724-247-0167"
}
],
"practiceLocations": [
{
"address_1": "2316 Dell Range Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820095192",
"country_code": "US",
"telephone_number": "307-514-5177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "TREVOR",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2023-06-05",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1494",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharpsville, PA
- Pittsburgh Voice & Speech Partners
- Puskar Chiropractic, PLLC
- Jacob Allen Puskar, DC
- Jason William Schlieper, RPH, BCPS
- Sharpsville Area School District
- Annette Constance Theofilos, DMD
- Thrift Drug Inc (Rite Aid Pharmacy 10996)
- Neva Turner
- Upmc Community Medicine, Inc. (Horizon Family Medicine - UPMC - Sharpsville)
- Valley Medical Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.