Individual provider Active NPI

Katherine Skillestad, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Durham, NC
National Provider Identifier
1992243075
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11337 Issued in NC
Practice address
2919 Colony Rd
Durham, NC 27705-5501
Phone
(919) 493-4911
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 11337 NC Primary
Dentist 122300000X 11337 NC
Dentist 122300000X 32657 TX

Addresses

Primary practice location

2919 Colony Rd
Durham, NC 27705-5501

Mailing address

2919 Colony Rd
Durham, NC 27705-5501
Phone (919) 493-4911

Other practice location 1

1506 E Franklin St Ste 304
Chapel Hill, NC 27514-2825
Phone (919) 493-4911

Other practice location 2

1107 S Fifth St
Mebane, NC 27302-9597
Phone (919) 493-4911

Other names 1

  • Dr. Katherine Avanesyan Other name

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

LicenseStateTypeSpecialty
32657TXMDPsychologist
11337NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1992243075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 COLONY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055501",
            "telephone_number": "919-493-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 COLONY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055501",
            "telephone_number": "919-493-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 E Franklin St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142825",
            "country_code": "US",
            "telephone_number": "919-493-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 S Fifth St",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273029597",
            "country_code": "US",
            "telephone_number": "919-493-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKILLESTAD",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "11337",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11337",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "AVANESYAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.