Individual provider Active NPI

Jayson Dale Snyder, DC

  • Chiropractor
  • Hartford, SD
National Provider Identifier
1053361428
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
837 Issued in SD
Practice address
304 W Hwy 38
Suite 122
Hartford, SD 57033
Phone
(605) 528-6240
Fax
(605) 528-6246
NPI assigned
May 10, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 837 SD Primary

Addresses

Primary practice location

304 W Hwy 38
Suite 122
Hartford, SD 57033

Mailing address

PO Box 446
304 W Hwy 38 Suite 122
Hartford, SD 57033
Phone (605) 528-6240

Other identifiers 1

IdentifierTypeStateIssuer
7604350MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000221 SD Practitioner - Chiropractic 2466436886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Hartford Spinal Care PCGroup PAC ID 1254437163, 2 clinicians

Practice addresses (Care Compare)

304 W Hwy 36 122
Hartford, SD 57033
Phone (602) 528-6246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
837SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Spinal Care PC Chiropractor CurrentSince Jan 1, 2007 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1053361428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "address_2": "304 W HWY 38 SUITE 122",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "57033",
            "telephone_number": "605-528-6240",
            "fax_number": "605-528-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HWY 38",
            "address_2": "SUITE 122",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "57033",
            "telephone_number": "605-528-6240",
            "fax_number": "605-528-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JAYSON",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.