Active NPI
James Robert Snodgrass, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lavale, MD
National Provider Identifier
1073594586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13543
- Practice address
- 428 National Hwy
Lavale, MD 21502-7129 - Phone
- (301) 722-5850
- Fax
- (301) 722-4960
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13543 | MD | Primary |
Addresses
Primary practice location
428 National Hwy
Lavale, MD 21502-7129
Mailing address
428 National Hwy
Lavale, MD 21502-7129
Phone (301) 722-5850
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1694475 | Other | MD | UCCI |
| 0006729 | Other | MD | MPC |
| 0137670000 | Medicaid | WV |
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 |
|---|---|---|---|
| 13543 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Charles McLuckie DDS Ms PC | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lavale, MD
- NPI 1548242597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073594586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027129",
"telephone_number": "301-722-5850",
"fax_number": "301-722-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027129",
"telephone_number": "301-722-5850",
"fax_number": "301-722-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODGRASS",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "13543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "1694475",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPC",
"identifier": "0006729",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0137670000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lavale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.