NPIMap

Organization Active NPI

Kenric a. Snow DDS Inc.

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1457553752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45324 Issued in CA
Legal business name
KENRIC A. SNOW DDS INC.
Practice address
10 Sierra Gate PLZ Ste 140
Roseville, CA 95678-6646
Phone
(916) 784-9191
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenric A Snow, DDSNPI 1730201534
Title
President
Phone
(916) 784-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45324 CA Primary

Addresses

Primary practice location

10 Sierra Gate PLZ Ste 140
Roseville, CA 95678-6646

Mailing address

10 Sierra Gate PLZ Ste 140
Roseville, CA 95678-6646
Phone (916) 784-9191

National Provider Directory

National Provider Directory

Locations

10 Sierra Gate Plz
Ste 140
Roseville, CA 95678
Phone (916) 784-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457553752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SIERRA GATE PLZ STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786646",
            "telephone_number": "916-784-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SIERRA GATE PLZ STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786646",
            "telephone_number": "916-784-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENRIC A. SNOW DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "KENRIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-784-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.