Individual provider Active NPI

Arnold Snetiker, DDS

  • General Practice Dentistry
  • Farmingville, NY
National Provider Identifier
1023456381
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26115 Issued in NY
Practice address
394 Mooney Pond Rd
Farmingville, NY 11738-1436
Phone
(631) 698-1944
Fax
(631) 698-1682
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26115 NY
General Practice Dentistry 1223G0001X 26115 NY Primary

Addresses

Primary practice location

394 Mooney Pond Rd
Farmingville, NY 11738-1436

Mailing address

394 Mooney Pond Rd
Farmingville, NY 11738-1436
Phone (631) 698-1944

Other identifiers 1

IdentifierTypeStateIssuer
1801094321OtherNYORGANIZATION NPI

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

LicenseStateTypeSpecialty
26115NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Snetiker DDS PC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1023456381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 MOONEY POND RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381436",
            "telephone_number": "631-698-1944",
            "fax_number": "631-698-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 MOONEY POND RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381436",
            "telephone_number": "631-698-1944",
            "fax_number": "631-698-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNETIKER",
        "first_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "26115",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "26115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1801094321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.