DR. CALVIN TYLER SKINNER DDS
NPI 1801406731
Dentist - General Practice in Boise, ID

Active since August 05, 2020
1175 E PARKCENTER BLVD, BOISE, ID 83706(208) 888-5544 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Sep 10, 2020, Aug 5, 2020 (3 updates tracked since 2020).

About Dr. Calvin Tyler Skinner Dds NPPES

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

DR. CALVIN TYLER SKINNER DDS (NPI 1801406731) is an individual general practice provider in Boise, Idaho, licensed in Idaho (4871762) and active in the NPI registry since August 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801406731
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CALVIN TYLER SKINNERCredential: DDS
Location Address1175 E PARKCENTER BLVDBoise, ID 83706-6751
Mailing Address1455 E Jade Creek StEagle, ID 83616-7521 · (208) 987-0402
Sole ProprietorNo
Enumeration DateAugust 5, 2020
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1801406731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · 4871762
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.

Also ListedDentistTaxonomy 122300000X · License D11305 (OR)
1175 E PARKCENTER BLVD, Boise, ID 83706

Secondary Practice Locations 2

Location 1674 BLVD DefranceMCRD Parris Island, SC 29905 · Phone (843) 228-3500
Location 2144 E Mallard DrBoise, ID 83706-3975 · Phone (208) 342-0315

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
1175 E PARKCENTER BLVD
BOISE, ID 83706
Physical Therapist
1175 E PARKCENTER BLVD, STE 101
BOISE, ID 83706
Physical Therapist
1175 E PARKCENTER BLVD, STE 101
BOISE, ID 83706
Dentist (General Practice)
1175 E PARKCENTER BLVD
BOISE, ID 83706
Physical Therapist
1175 E PARKCENTER BLVD, STE 101
BOISE, ID 83706
Physical Therapist
1175 E PARKCENTER BLVD, STE 104
BOISE, ID 83706

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 Calvin Skinner's NPI number?

The NPI number for Calvin Skinner is 1801406731. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Calvin Skinner located?

Calvin Skinner practices at 1175 E Parkcenter Blvd, Boise, ID 83706. The listed phone number is (208) 888-5544.

What is Calvin Skinner's specialty?

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

What insurance does Calvin Skinner accept?

Health plans from Florida Combined Life and Humana list Calvin Skinner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calvin Skinner was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.