Organization Active NPI

Richland Dental Center, PLLC

  • Dentist
  • Richland, WA
National Provider Identifier
1235521600
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6023 Issued in WA
Legal business name
RICHLAND DENTAL CENTER, PLLC
Practice address
1050 Gillmore Ave
Suite B
Richland, WA 99352-3382
Phone
(509) 946-2258
Fax
(509) 946-1211
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Ronald K Snyder, D.D.S.NPI 1700897865
Title
Owner
Phone
(509) 946-2258

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6023 WA Primary

Addresses

Primary practice location

1050 Gillmore Ave
Suite B
Richland, WA 99352-3382

Mailing address

1050 Gillmore Ave
Suite B
Richland, WA 99352-3382
Phone (509) 946-2258

Other identifiers 2

IdentifierTypeStateIssuer
694123OtherWAUNITED CONCORDIA
5033246MedicaidWA

National Provider Directory

National Provider Directory

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": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1235521600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523382",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523382",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-946-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "694123",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5033246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.