Individual provider Active NPI

Keith D Snitker, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1275610297
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2011026384 Issued in MO
Practice address
3315 Gillham PLZ
Kansas City, MO 64109-1745
Phone
(816) 561-2273
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20442 TX
Dentist 122300000X 2011026384 MO Primary

Addresses

Primary practice location

3315 Gillham PLZ
Kansas City, MO 64109-1745

Mailing address

3315 Gillham PLZ
Kansas City, MO 64109-1745
Phone (816) 561-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418002477 MO Order and Referring Only - DentistPractitioner - Dentist 8921384447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2011026384MOMDDentist
20442TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Parallel Dental, LLC Dentist Current Accepting new patients
Raytown Dentist, LLC General Practice CurrentSince Jan 8, 2023 Accepting new patients

Locations

7316 Raytown Rd
Raytown, MO 64133
Phone (816) 353-0140

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1275610297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 GILLHAM PLZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091745",
            "telephone_number": "816-561-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 GILLHAM PLZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091745",
            "telephone_number": "816-561-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNITKER",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20442",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011026384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.