Active NPI
Kirk J Snyder, DMD
- Dentist
- Port Charlotte, FL
National Provider Identifier
1295996767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18285
- Practice address
- 1100 Loveland Blvd
Port Charlotte, FL 33980-1802 - Phone
- (941) 624-7285
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN18285 | FL | Primary |
Addresses
Primary practice location
1100 Loveland Blvd
Port Charlotte, FL 33980-1802
Mailing address
1100 Loveland Blvd
Port Charlotte, FL 33980-1802
Phone (941) 624-7285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000150800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18285 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1295996767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LOVELAND BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339801802",
"telephone_number": "941-624-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LOVELAND BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339801802",
"telephone_number": "941-624-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KIRK",
"middle_name": "J",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000150800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.