Katherine Renee Snodgrass, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2017016415 Issued in MO

Practice address

324 S Hudson St
Buckner, MO 64016-8142

Phone

(816) 249-1521

NPI assigned

Jun 1, 2017

Last updated

Jun 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Renee Heriford Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA
• Direct secure messaging: katherine.snodgrass@hccnet.eclinicaldirectplus.com

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.

• HCC Network

  dba Live Well Community Health Center-Waverly

  • Federally Qualified Health Center (FQHC)
  • Waverly, MO
  • NPI 1174960769
  NPD (past)
• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374
  NPD (past)
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559
  NPD (past)
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817
  NPD (past)
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1063940294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 NE EDGEWATER CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643101",
            "telephone_number": "816-591-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S HUDSON ST",
            "city": "BUCKNER",
            "state": "MO",
            "postal_code": "640168142",
            "telephone_number": "816-249-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "KATHERINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MO",
            "license": "2017016415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HERIFORD",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avery Oldham, RD, LD
• Jamie Renee Partin
• Sarah Ann Patrick, RN
• Hunter Dietrich Rolf, DDS
• Allison Scully

• Public Health Dentistry in Buckner, MO
• Providers in Buckner, MO by specialty
• Public Health Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.