Craig Bradley Snyder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025817 Issued in IL

Practice address

18340 Governors Hwy
Homewood, IL 60430-2910

Phone

(708) 799-0660

Fax

(708) 798-9908

NPI assigned

Feb 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Edp of Illinois P.C

  • Dental Clinic/Center
  • Dupo, IL
  • NPI 1154712784
  NPD (past)
• Walter D. Flor, D.D.S., LTD.

  • Dental Clinic/Center
  • Homewood, IL
  • NPI 1558668756
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1316244767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302910",
            "telephone_number": "708-799-0660",
            "fax_number": "708-798-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302910",
            "telephone_number": "708-799-0660",
            "fax_number": "708-798-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CRAIG",
        "middle_name": "BRADLEY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Anne Smith
• Marisha Smith, LPC
• Santana Smith
• Tarik N Smith
• SMS Dental LLC
• Preet Sohal, MD
• South Suburban Cardiology
• South Suburban Cardiology LTD
• South Suburban Gastroenterology, S.C.
• South Suburban Rehabilitation Center, LLC

• General Practice Dentistry in Homewood, IL
• Providers in Homewood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.

Verify at the official NPI Registry.