NPIMap

Organization Active NPI

Randolph a Snyder DMD LTD

  • Periodontics
  • Yuma, AZ
National Provider Identifier
1144301995
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3124 Issued in AZ
Legal business name
RANDOLPH A SNYDER DMD LTD
Practice address
1325 W 16TH St
Suite 1
Yuma, AZ 85364-4496
Phone
(928) 343-0098
Fax
(928) 783-1252
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Randolph A Snyder, DMDNPI 1790745594
Title
Periodontist
Phone
(928) 343-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 3124 AZ Primary

Addresses

Primary practice location

1325 W 16TH St
Suite 1
Yuma, AZ 85364-4496

Mailing address

1325 W 16TH St
Suite 1
Yuma, AZ 85364-4496
Phone (928) 343-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1144301995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W 16TH ST",
            "address_2": "SUITE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644496",
            "telephone_number": "928-343-0098",
            "fax_number": "928-783-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 16TH ST",
            "address_2": "SUITE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644496",
            "telephone_number": "928-343-0098",
            "fax_number": "928-783-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH A SNYDER DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "928-343-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.