Active NPI
Donald Alan Snyder, DDS
- General Practice Dentistry
- Bellevue, WA
National Provider Identifier
1104949239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00004455
- Practice address
- 1800 116TH Ave NE
Suite 105
Bellevue, WA 98004-3043 - Phone
- (425) 454-5690
- Fax
- (425) 454-4775
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00004455 | WA | Primary |
Addresses
Primary practice location
1800 116TH Ave NE
Suite 105
Bellevue, WA 98004-3043
Mailing address
1800 116TH Ave NE
Suite 105
Bellevue, WA 98004-3043
Phone (425) 454-5690
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00004455 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104949239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 116TH AVE NE",
"address_2": "SUITE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043043",
"telephone_number": "425-454-5690",
"fax_number": "425-454-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 116TH AVE NE",
"address_2": "SUITE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043043",
"telephone_number": "425-454-5690",
"fax_number": "425-454-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DONALD",
"middle_name": "ALAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00004455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
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.