Timothy C Snyder, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33993 Issued in CA

Practice address

1364 Whispering Pines LN Ste 3
Grass Valley, CA 95945-5975

Phone

(530) 272-3111

Fax

(530) 272-4111

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 7, 2015 through Dec 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1164415527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN STE 3",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN STE 3",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "33993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791236G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Frederick Smith, DDS
• Tyler Smith
• Joanna Elizabeth Snider-Lipa, LCSW
• Jodi D Snyder, PSYD
• Karl D Snyder, M.F.T.
• Judith Ann Sobrero, MFT
• Sam Luke Sohmer, MA
• Nicole Tara Solomon
• Christie Sonmez
• Sarah Rebecca Sostrin, L.AC.

• Oral and Maxillofacial Surgery (Dentist) in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.