NPI Code Detail JSON Logo

1285723676 NPI number — MICHELLE Y SKIERKOWSKI DDS, MS

NPI Number: 1285723676
Health Care Provider/Practitioner: MICHELLE Y SKIERKOWSKI DDS, MS

Information about “1285723676” NPI (MICHELLE Y SKIERKOWSKI DDS, MS) exists in 1285723676 in HTML format HTML  |  1285723676 in plain Text format TXT  |  1285723676 in PDF (Portable Document Format) PDF  |  1285723676 in an XML format XML  formats.

NPI Number : 1285723676 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285723676",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SKIERKOWSKI",
    "FirstName": "MICHELLE",
    "MiddleName": "Y",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DDS, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KURKOWSKI",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": "Y",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS, MS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6426 SW BURLINGAME PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97239-2686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-645-9876",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11790 SW BARNES RD",
    "SecondLinePracticeLocationAddress": "280",
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97225-5934",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-626-9700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2006",
    "LastUpdateDate": "02/19/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "2901019090",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "DE 60113228",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "D9595",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.