Active NPI
Michael James Snyder, D.C.
- Chiropractor
- Newport Beach, CA
National Provider Identifier
1174615207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22930
- Practice address
- 1601 Dove St
Ste 170
Newport Beach, CA 92660-1421 - Phone
- (949) 229-5297
- Fax
- (815) 425-4215
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22930 | CA | Primary |
Addresses
Primary practice location
1601 Dove St
Ste 170
Newport Beach, CA 92660-1421
Mailing address
1601 Dove St
Ste 170
Newport Beach, CA 92660-1421
Phone (949) 229-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22930 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Medical Group | Current | Accepting new patients | |
| Michael J. Snyder, D.C. | Chiropractor | Past | Accepting new patients |
Locations
1601 Dove St
Ste 170
Newport Beach, CA 92660
Phone (949) 467-9081
14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670
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.
-
- Interventional Pain Medicine Physician
- Newport Beach, CA
- NPI 1932207248
-
- Chiropractor
- Newport Beach, CA
- NPI 1467831115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1174615207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 DOVE ST",
"address_2": "STE 170",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601421",
"telephone_number": "949-229-5297",
"fax_number": "815-425-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 DOVE ST",
"address_2": "STE 170",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601421",
"telephone_number": "949-229-5297",
"fax_number": "815-425-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.