Vivian Snider, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN-DEN-LIC-25947 Issued in MT

Practice address

80 Willow Peak Dr Unit D
Bozeman, MT 59718-9827

Phone

(406) 920-4200

NPI assigned

Apr 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Headwaters Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bozeman, MT
  • NPI 1982433793
  NPD Authorized official

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1215671417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N HOFFMAN ST",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143607",
            "telephone_number": "719-244-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WILLOW PEAK DR UNIT D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189827",
            "telephone_number": "406-920-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "DEN-DEN-LIC-25947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Smith
• Molly Kathleen Smith, BS, LMT
• Sadie R. Smith, MA, LMFT, LCPC
• Tamera Smith, PT
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #170)
• Nicole Snow
• Ashton Marie Snyder, LCSW
• Jessica Gayle Snyder, P.T.
• Dane E Sobek, MD
• Debbie Sobrepena, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.