Individual provider Active NPI

Christopher Andrew Snell, D.D.S.

  • Dentist
  • Lake Wylie, SC
National Provider Identifier
1427167311
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4365 Issued in SC
Practice address
1100 Village Harbor Dr
Lake Wylie, SC 29710-9091
Phone
(803) 831-8856
Fax
(803) 831-8966
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4365 SC Primary

Addresses

Primary practice location

1100 Village Harbor Dr
Lake Wylie, SC 29710-9091

Mailing address

PO Box 5248
Lake Wylie, SC 29710-5003
Phone (803) 831-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150708003115 SC Order and Referring Only - DentistPractitioner - Dentist 9436461183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4365SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wylie Family Dentistry PA Dentist Past Accepting new patients

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1427167311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5248",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297105003",
            "telephone_number": "803-831-8856",
            "fax_number": "803-831-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VILLAGE HARBOR DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109091",
            "telephone_number": "803-831-8856",
            "fax_number": "803-831-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

Verify at the official NPI Registry.