Active NPI
Kevin John Snaer, D.D.S.
- Pediatric Dentistry
- Arcadia, CA
National Provider Identifier
1003028697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 37921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37921 | Other | CA | STATE 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.