MR. KEVIN MICHAEL SKINNER (NPI# 1356482657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356482657 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MICHAEL SKINNER |
| Credential | DDS |
| Practice Address |
5651 Stone Rd Centreville VA 20120 |
| Practice Telephone | 7038303092 |
| Practice Fax Number | 7038300601 |
| Mailing Telephone | 7038303092 |
| Mailing Fax Number | 7038300601 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D401410055 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401410055 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA STATE LICENSE | 0401410055 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720241466 | Kevin Skinner | Marriage & Family Therapist | 2545 N Canyon Rd, #210, Provo, UT 84604-5911 | 2008-07-02 |
| 1740244003 | Kevin L Skinner | Chiropractor | 701 N Preston Rd Ste 330, Celina, TX 75009-3812 | 2006-04-13 |
| 1013997881 | Kevin Skinner | Emergency Medicine | 2963 E Robin Ln, Gilbert, AZ 85296-9426 | 2006-01-18 |
| 1164790721 | Kevin Skinner | Physician Assistant | 800 E Dawson St, Tyler, TX 75701-2036 | 2011-12-09 |
| Street Address |
5651 STONE RD |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497988588 | Skinner Ossakow & Associates | Dentist | 5651 Stone Rd, Centreville, VA 20120-1618 | 2009-08-24 |
| 1841331147 | William Benjamin Ossakow | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| 1467485706 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 5615 Stone Rd, Centreville, VA 20120 | 2006-07-09 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1275808438 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2012-03-20 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1740577717 | Jose I Aunon | Dentist | 6134 Redwood Square Ctr, Suite 202, Centreville, VA 20121-2642 | 2011-06-29 |
| 1841524568 | Jaewon Yoon | Dentist | 14631 Lee Hwy Ste 116, Centreville, VA 20121-5825 | 2009-09-28 |
| 1891926697 | Vladyslav Ovcharenko | Dentist | 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 | 2009-07-28 |
| 1811154529 | Luong-hung N Le | Dentist | 14637 Lee Hwy Ste 104, Centreville, VA 20121-5830 | 2008-05-20 |
| 1346433448 | Diego A Morales | Dentist | 5701 Centre Square Dr, Centreville, VA 20120-1916 | 2007-08-22 |
| 1295802932 | Jim J Soltani | Dentist | 6019 Centreville Crest Ln, Centreville, VA 20121 | 2006-11-29 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
Please comment or provide details below to improve the information on MR. KEVIN MICHAEL SKINNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.