NPIMap

Organization Active NPI

Douglas J Snyder DDS, PC

  • Dental Clinic/Center
  • Elkhart, IN
National Provider Identifier
1336333970
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54000955A Issued in IN
Legal business name
DOUGLAS J SNYDER DDS, PC
Practice address
427 Waterfall Dr
Elkhart, IN 46516-3660
Phone
(574) 293-9495
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Douglas J Snyder, DDSNPI 1134313778
Title
President
Phone
(574) 293-9495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54000955A IN Primary

Addresses

Primary practice location

427 Waterfall Dr
Elkhart, IN 46516-3660

Mailing address

427 Waterfall Dr
Elkhart, IN 46516-3660
Phone (574) 293-9495

National Provider Directory

National Provider Directory

Locations

427 Waterfall Dr
Elkhart, IN 46516
Phone (574) 293-9495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1336333970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 WATERFALL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163660",
            "telephone_number": "574-293-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 WATERFALL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163660",
            "telephone_number": "574-293-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J SNYDER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-293-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54000955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.