Individual provider Active NPI

Shawn Snider, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1366895047
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2016019192 Issued in MO
Practice address
10201 N Oak Trfy Ste 300
Kansas City, MO 64155-4203
Phone
(816) 429-6604
Fax
(816) 429-6593
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2016019192 MO Primary

Addresses

Primary practice location

10201 N Oak Trfy Ste 300
Kansas City, MO 64155-4203

Mailing address

10201 N Oak Trfy Ste 300
Kansas City, MO 64155-4203
Phone (816) 429-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161107001335 MO Order and Referring Only - DentistPractitioner - Dentist 4486932878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1366895047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 N OAK TRFY STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641554203",
            "telephone_number": "816-429-6604",
            "fax_number": "816-429-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 N OAK TRFY STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641554203",
            "telephone_number": "816-429-6604",
            "fax_number": "816-429-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016019192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.