Individual provider Active NPI

David Sidney Snyder, DDS

  • General Practice Dentistry
  • Bluffton, SC
National Provider Identifier
1326129149
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3595 Issued in SC
Practice address
70 Pennington Dr
Suite 7
Bluffton, SC 29910-6055
Phone
(843) 706-3377
Fax
(843) 706-3381
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3595 SC Primary

Addresses

Primary practice location

70 Pennington Dr
Suite 7
Bluffton, SC 29910-6055

Mailing address

70 Pennington Dr
Suite 7
Bluffton, SC 29910-6055
Phone (843) 706-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150514002933 SC Order and Referring Only - DentistPractitioner - Dentist 6103146154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3595SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Hendricks DDS LLC Past Accepting new patients

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1326129149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PENNINGTON DR",
            "address_2": "SUITE 7",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106055",
            "telephone_number": "843-706-3377",
            "fax_number": "843-706-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PENNINGTON DR",
            "address_2": "SUITE 7",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106055",
            "telephone_number": "843-706-3377",
            "fax_number": "843-706-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DAVID",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.