Individual provider Active NPI

Bashar Snober, DDS, MSD

  • Prosthodontics
  • Austin, TX
National Provider Identifier
1346642857
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
TX33784 Issued in TX
Practice address
5301 Davis LN Ste 101
Austin, TX 78749-4031
Phone
(225) 775-0160
NPI assigned
Sep 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Prosthodontics 1223P0700X TX33784 TX Primary

Addresses

Primary practice location

5301 Davis LN Ste 101
Austin, TX 78749-4031

Mailing address

5301 Davis LN Ste 101
Austin, TX 78749-4031
Phone (512) 960-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180208000929 LA Order and Referring Only - DentistPractitioner - Dentist 3779843974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX33784TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthodontics of Texas P.C. PastSince Sep 25, 2022 Accepting new patients
Family Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1346642857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494031",
            "telephone_number": "512-960-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494031",
            "telephone_number": "225-775-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOBER",
        "first_name": "BASHAR",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "TX33784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.