Individual provider Active NPI

Jeffrey Mark Snitzer, DMD

  • Periodontics
  • Metairie, LA
National Provider Identifier
1124100987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4760 Issued in LA
Practice address
3000 W Esplanade Ave N
Ste 200
Metairie, LA 70002-1877
Phone
(504) 833-3200
Fax
(504) 833-0813
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4760 LA Primary

Addresses

Primary practice location

3000 W Esplanade Ave N
Ste 200
Metairie, LA 70002-1877

Mailing address

3000 W Esplanade Ave N
Ste 200
Metairie, LA 70002-1877
Phone (504) 833-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160218000323 LA Order and Referring Only - DentistPractitioner - Dentist 8921303660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Dental Care Past Accepting new patients
Cheng You, DDS, PC Periodontics Past Accepting new patients

Networks

  • LA PPO C-SNP

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124100987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W ESPLANADE AVE N",
            "address_2": "STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021877",
            "telephone_number": "504-833-3200",
            "fax_number": "504-833-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W ESPLANADE AVE N",
            "address_2": "STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021877",
            "telephone_number": "504-833-3200",
            "fax_number": "504-833-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNITZER",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.