Active NPI
Boris Shnayder, DDS
- General Practice Dentistry
- Tulare, CA
National Provider Identifier
1316062102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51376
- Practice address
- 1040 N Cherry St
Tulare, CA 93274-2251 - Phone
- (559) 686-1773
- Fax
- (559) 686-5721
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51376 | CA | Primary |
Addresses
Primary practice location
1040 N Cherry St
Tulare, CA 93274-2251
Mailing address
1040 N Cherry St
Tulare, CA 93274-2251
Phone (559) 686-1773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424001654 | CA | Order and Referring Only - Oral Surgery | 5799004735 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1316062102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932742251",
"telephone_number": "559-686-1773",
"fax_number": "559-686-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932742251",
"telephone_number": "559-686-1773",
"fax_number": "559-686-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHNAYDER",
"first_name": "BORIS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.