Active NPI
Gregory John Snevel, D.D.S
- General Practice Dentistry
- Willoughby Hills, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.023495
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023495 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Street Community Clinic, Inc | Current | Accepting new patients | |
| Third Street Community Clinic Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Shelby, OH
- NPI 1811364706
-
- Community/Retail Pharmacy
- Mansfield, OH
- NPI 1497485973
-
- Primary Care Clinic/Center
- Mansfield, OH
- NPI 1558576116
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.