Individual provider Active NPI

Gregory John Snevel, D.D.S

  • General Practice Dentistry
  • Willoughby Hills, OH
National Provider Identifier
1326334533
Registry record updated Jun 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023495 Issued in OH
Practice address
35040 Chardon Rd
201
Willoughby Hills, OH 44094-9006
Phone
(440) 946-9701
NPI assigned
Jun 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2011

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 30.023495 OH Primary

Addresses

Primary practice location

35040 Chardon Rd
201
Willoughby Hills, OH 44094-9006

Mailing address

35040 Chardon Rd
201
Willoughby Hills, OH 44094-9006
Phone (440) 946-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260203001796 OH Practitioner - Dentist 6507344249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Ohio State University College of Dentistry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1404 Park Ave W
Suite 2
Mansfield, OH 44906-2719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023495OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc CurrentSince Dec 24, 2025 Accepting new patients
Third Street Community Clinic Inc CurrentSince Dec 24, 2025 Accepting new patients
Third Street Community Clinic, Inc Past Accepting new patients

Locations

431 E 9th St
Ashland, OH 44805
Phone (419) 289-1430

1404 Park Ave W
Ste 2
Ontario, OH 44906

600 W 3rd St
Ontario, OH 44906
Phone (419) 525-6722

31 E Main St
Shelby, OH 44875
Phone (419) 525-6795

Organizations & group practices 3

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": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309046400000",
    "number": "1326334533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD",
            "address_2": "201",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949006",
            "telephone_number": "440-946-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD",
            "address_2": "201",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949006",
            "telephone_number": "440-946-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEVEL",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-26",
        "last_updated": "2011-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.