Organization Active NPI

Snow Orthodontics Dental Group Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palmdale, CA
National Provider Identifier
1063164556
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SNOW ORTHODONTICS DENTAL GROUP PROFESSIONAL CORPORATION
Practice address
868 Auto Center Dr Ste C
Palmdale, CA 93551-4691
Phone
(661) 450-0116
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Leo Pineda
Title
Insurance Coordinator
Phone
(661) 450-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

868 Auto Center Dr Ste C
Palmdale, CA 93551-4691

Mailing address

868 Auto Center Dr Ste C
Palmdale, CA 93551-4691
Phone (661) 450-0116

Other names 1

  • SNOW ORTHODONTICS DENTAL GROUP,PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1063164556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514691",
            "telephone_number": "661-450-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514691",
            "telephone_number": "661-450-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW ORTHODONTICS DENTAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "661-450-0116"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNOW ORTHODONTICS DENTAL GROUP,PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.