Active NPI
David B Snoddy, D.D.S.
- General Practice Dentistry
- North Little Rock, AR
National Provider Identifier
1104029503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2373
- Practice address
- 505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147 - Phone
- (501) 758-9140
- Fax
- (501) 758-1174
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- 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 | 2373 | AR | Primary |
Addresses
Primary practice location
505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Mailing address
505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Phone (501) 758-9140
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 |
|---|---|---|---|
| 2373 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Clinic | General Practice | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104029503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"address_2": "SUITE A",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-758-9140",
"fax_number": "501-758-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"address_2": "SUITE A",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-758-9140",
"fax_number": "501-758-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODDY",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.