Active NPI
Richard D. Snitzer, D.M.D.
- Dentist
- Kirkwood, MO
National Provider Identifier
1023157468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014727
- Practice address
- 508 N Kirkwood Rd
Kirkwood, MO 63122-3914 - Phone
- (314) 965-8283
- Fax
- (314) 965-9105
- NPI assigned
- Feb 5, 2007
- Last updated
- Mar 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 014727 | MO | |
| Dentist | 122300000X | 014727 | MO | Primary |
Addresses
Primary practice location
508 N Kirkwood Rd
Kirkwood, MO 63122-3914
Mailing address
508 N Kirkwood Rd
Kirkwood, MO 63122-3914
Phone (314) 965-8283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402533715 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014727 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard D. Snitzer, D.M.D., P.C. | Dentist | Past | Accepting new patients |
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Kirkwood, MO
- NPI 1073502886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1023157468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631223914",
"telephone_number": "314-965-8283",
"fax_number": "314-965-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631223914",
"telephone_number": "314-965-8283",
"fax_number": "314-965-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNITZER",
"first_name": "RICHARD",
"middle_name": "D.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MO",
"license": "014727",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402533715",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.