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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWARD JOSEPH SKONIECZNY
NPI 1528869500
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 24, 2025
4010 PARK RD, CHARLOTTE, NC 28209(704) 525-3939 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward Joseph Skonieczny NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD JOSEPH SKONIECZNY (NPI 1528869500) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1528869500
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWARD JOSEPH SKONIECZNY
Location Address4010 PARK RDCharlotte, NC 28209-2272
Mailing Address4010 Park RdCharlotte, NC 28209-2272 · (704) 525-3939
Phone(704) 525-3939
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1528869500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4010 PARK RD, Charlotte, NC 28209
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDA MARIE POLITO D.D.S.
Dentist (General Practice)
4010 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 525-3939
CHARLOTTE EMERGENCY DENTAL CLINIC
Dentist (General Practice)
4010 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 525-3939
DR. ELLIOTT TAYLOR BURNS DDS
Dentist (General Practice)
4010 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (704) 525-3939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Skonieczny's NPI number?

The NPI number for Edward Skonieczny is 1528869500. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Edward Skonieczny located?

Edward Skonieczny practices at 4010 Park Rd, Charlotte, NC 28209. The listed phone number is (704) 525-3939.

What is Edward Skonieczny's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edward Skonieczny was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.