BRADLEY K SKILLEN DDS
NPI 1619069614
Dentist - General Practice in Derby, KS

Active since September 28, 2006
1700 JAMES ST, DERBY, KS 67037(316) 788-3736(316) 788-4158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley K Skillen Dds NPPES

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

BRADLEY K SKILLEN DDS (NPI 1619069614) is an individual general practice provider in Derby, Kansas, licensed in Kansas (6291) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619069614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRADLEY K SKILLENCredential: DDS
Location Address1700 JAMES STDerby, KS 67037-3543
Mailing AddressPo Box 207, 1700 JamesDerby, KS 67037-0207 · (316) 788-3736 · Fax (316) 788-4158
Fax(316) 788-4158
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619069614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KS · 6291
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1700 JAMES ST, Derby, KS 67037

Other Identifiers 1

Other794415United Concordia

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.

Dentist (General Practice)
1700 JAMES ST
DERBY, KS 67037
Dentist (General Practice)
1700 JAMES ST
DERBY, KS 67037
Dentist (General Practice)
1700 JAMES ST
DERBY, KS 67037

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 Bradley Skillen's NPI number?

The NPI number for Bradley Skillen is 1619069614. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Bradley Skillen located?

Bradley Skillen practices at 1700 James St, Derby, KS 67037. The listed phone number is (316) 788-3736.

What is Bradley Skillen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bradley Skillen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.