Individual provider Active NPI

Leann Kolb Snody, D.D.S.

  • General Practice Dentistry
  • Taft, TX
National Provider Identifier
1326199506
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20968 Issued in TX
Practice address
1210 Gregory St Ste 3
Taft, TX 78390-3045
Phone
(361) 528-3262
Fax
(361) 528-0216
NPI assigned
Jan 15, 2007
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 20968 TX Primary

Addresses

Primary practice location

1210 Gregory St Ste 3
Taft, TX 78390-3045

Mailing address

PO Box 212
1210 Gregory St. Ste.#3
Taft, TX 78390-0212
Phone (361) 528-3262

Other practice location 1

4449 S Alameda St Ste 1
Corpus Christi, TX 78412-2465
Phone (361) 991-5652

Other identifiers 2

IdentifierTypeStateIssuer
1507675-02MedicaidTX
1385673OtherTXTRICARE

Other names 1

  • Dr. Sherry Leann Snody Former name

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

LicenseStateTypeSpecialty
20968TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D. Kolb Inc. General Practice Past Accepting new patients
Charles D Kolb DDS Inc General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1326199506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "address_2": "1210 GREGORY ST. STE.#3",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783900212",
            "telephone_number": "361-528-3262",
            "fax_number": "361-528-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GREGORY ST STE 3",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903045",
            "telephone_number": "361-528-3262",
            "fax_number": "361-528-0216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4449 S Alameda St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784122465",
            "country_code": "US",
            "telephone_number": "361-991-5652",
            "fax_number": "361-991-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNODY",
        "first_name": "LEANN",
        "middle_name": "KOLB",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507675-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1385673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "SNODY",
            "middle_name": "LEANN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taft, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.