Individual provider Active NPI

Erica Michelle Snider-Gomez, DDS

  • General Practice Dentistry
  • Belle Glade, FL
National Provider Identifier
1073702767
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17837 Issued in FL
Practice address
427 SE 2ND St
Belle Glade, FL 33430-3511
Phone
(561) 996-0960
Fax
(561) 996-0960
NPI assigned
Oct 18, 2007
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17837 FL Primary

Addresses

Primary practice location

427 SE 2ND St
Belle Glade, FL 33430-3511

Mailing address

1416 Beta Cir
Lake Clarke Shores, FL 33406-7810
Phone (586) 567-2127

Other practice location 1

542 N US Highway 1
Tequesta, FL 33469-2372
Phone (561) 745-1174

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160224002080 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3870898166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CMT Dental PA PastSince Sep 4, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1073702767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BETA CIR",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334067810",
            "telephone_number": "586-567-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SE 2ND ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303511",
            "telephone_number": "561-996-0960",
            "fax_number": "561-996-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Tequesta",
            "state": "FL",
            "postal_code": "334692372",
            "country_code": "US",
            "telephone_number": "561-745-1174",
            "fax_number": "561-744-9713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER-GOMEZ",
        "first_name": "ERICA",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.