Individual provider Active NPI

Kevin John Snaer, D.D.S.

  • Pediatric Dentistry
  • Arcadia, CA
National Provider Identifier
1003028697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
37921 Issued in CA
Practice address
1235 W Huntington Dr Ste a
Arcadia, CA 91007-6377
Phone
(626) 449-8963
Fax
(626) 449-5716
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 37921 CA Primary

Addresses

Primary practice location

1235 W Huntington Dr Ste a
Arcadia, CA 91007-6377

Mailing address

1235 W Huntington Dr Ste a
Arcadia, CA 91007-6377
Phone (626) 449-8963

Other identifiers 1

IdentifierTypeStateIssuer
37921OtherCASTATE DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003028697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W HUNTINGTON DR STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076377",
            "telephone_number": "626-449-8963",
            "fax_number": "626-449-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W HUNTINGTON DR STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076377",
            "telephone_number": "626-449-8963",
            "fax_number": "626-449-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAER",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "37921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "37921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.