Active NPI
Erica Michelle Snider-Gomez, DDS
- General Practice Dentistry
- Belle Glade, FL
National Provider Identifier
1073702767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17837
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224002080 | FL | Order and Referring Only - Other (Physician) | 3870898166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMT Dental PA | Past | 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
- Juliet N/a Shaw, APRN
- Shekinah Family Medical Centers LLC (Shekinah Family Medical Centers Lake Worth)
- Moreti Sierra Leon
- Vanessa Small
- Coretha Denise Smith, CERTIFIED ADDICTION
- Soto Chiropractic & Physical Therapy Center (Advanced Wellness & Glades Chiropractic Center)
- Soto Chiropractic & Physical Therapy Centers (Glades Chiropractic Center)
- Janette Soto, RPH
- South County Mental Health Center, Inc.
- South Florida Foot & Ankle Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.