Organization Active NPI

J Kendall Snow DDS, PLLC

  • Endodontics
  • Monroe, NC
National Provider Identifier
1124309406
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9054 Issued in NC
Legal business name
J KENDALL SNOW DDS, PLLC
Practice address
1841 Wellness Blvd
Monroe, NC 28110-7774
Phone
(704) 635-8273
Fax
(704) 271-9707
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Dr. Jason K Snow, DDS
Title
Endodontist
Phone
(704) 635-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9054 NC Primary

Addresses

Primary practice location

1841 Wellness Blvd
Monroe, NC 28110-7774

Mailing address

1841 Wellness Blvd
Monroe, NC 28110-7774
Phone (704) 635-8273

Other names 1

  • SNOW ENDODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

1841 Wellness Blvd
Monroe, NC 28110
Phone (704) 635-8273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1124309406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107774",
            "telephone_number": "704-635-8273",
            "fax_number": "704-271-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107774",
            "telephone_number": "704-635-8273",
            "fax_number": "704-271-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KENDALL SNOW DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "704-635-8273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNOW ENDODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.