Individual provider Active NPI

David Michael Snipper, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1417925249
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6112 Issued in NV
Practice address
7470 Dean Martin Dr Ste 101
Las Vegas, NV 89139-5944
Phone
(702) 595-6462
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 6112 NV
Public Health & General Preventive Medicine Physician 2083P0901X 6112 NV
Family Medicine Physician 207Q00000X 6112 NV Primary

Addresses

Primary practice location

7470 Dean Martin Dr Ste 101
Las Vegas, NV 89139-5944

Mailing address

1504 Silver Oaks St
Las Vegas, NV 89117-1457
Phone (702) 595-6462

Other identifiers 1

IdentifierTypeStateIssuer
2019069MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040908000067 NV Practitioner - General PracticePractitioner - Anesthesiology 5294701694 Reassigns benefits to 1 organization
I20240411003776 AZ Practitioner - General Practice 5294701694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
GMC Healthcare PLLC Family Medicine CurrentSince Feb 12, 2024 Accepting new patients
Snipper Health Management LLC CurrentSince Oct 7, 2022 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology PastSince Feb 2, 2020 Accepting new patients
Reiichi Iizuka, M.D. CHTD. Anesthesiology Past Accepting new patients

Locations

10250 N 124th St
Scottsdale, AZ 85259
Phone (480) 400-0850

8879 W Flamingo Rd
Ste 101
Las Vegas, NV 89147
Phone (702) 595-6462

7470 Dean Martin Dr
Ste 101
Las Vegas, NV 89139
Phone (702) 595-6462

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIHDD

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1417925249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SILVER OAKS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171457",
            "telephone_number": "702-595-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 DEAN MARTIN DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395944",
            "telephone_number": "702-595-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPPER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "6112",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NV",
            "license": "6112",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019069",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.