Active NPI
Brian Paul Sneath, DMD
- Dentist
- O Fallon, IL
National Provider Identifier
1346733540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.031677
- Practice address
- 301 Tamarack LN
O Fallon, IL 62269-2993 - Phone
- (618) 632-5566
- NPI assigned
- Jun 12, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.031677 | IL | Primary |
Addresses
Primary practice location
301 Tamarack LN
O Fallon, IL 62269-2993
Mailing address
5700 Highlands Plaza Dr Apt 3054
Saint Louis, MO 63110-1372
Phone (217) 303-6418
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031677 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1346733540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 HIGHLANDS PLAZA DR APT 3054",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101372",
"telephone_number": "217-303-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 TAMARACK LN",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692993",
"telephone_number": "618-632-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEATH",
"first_name": "BRIAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.031677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.