Active NPI
Society of St. Vincent de Paul
- Dentist
- Phoenix, AZ
National Provider Identifier
1275687790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- AZ2056
- Legal business name
- SOCIETY OF ST. VINCENT DE PAUL
- Practice address
- 420 W Watkins Rd
Phoenix, AZ 85003-2830 - Phone
- (602) 261-6874
- Fax
- (602) 261-6816
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Floyd Kenneth Snyder, DMD
- Title
- Dental Clinic Director
- Phone
- (602) 261-6825
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | AZ2056 | AZ | Primary |
Addresses
Primary practice location
420 W Watkins Rd
Phoenix, AZ 85003-2830
Mailing address
420 W Watkins Rd
Phoenix, AZ 85003-2830
Phone (602) 261-6874
National Provider Directory
National Provider Directory- Tax ID family
- Diocesan Council of the Society of St Vincent de Paul Diocese of PHX
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic
- Community Health Clinic/Center
- Phoenix, AZ
- NPI 1952572240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1952638504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275687790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W WATKINS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032830",
"telephone_number": "602-261-6874",
"fax_number": "602-261-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W WATKINS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032830",
"telephone_number": "602-261-6874",
"fax_number": "602-261-6816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIETY OF ST. VINCENT DE PAUL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "FLOYD",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "DENTAL CLINIC DIRECTOR",
"authorized_official_telephone_number": "602-261-6825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "AZ2056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.