Individual provider Active NPI

Harold Snyder, DDS

  • Periodontics
  • Frederick, MD
National Provider Identifier
1487686770
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
13952 Issued in MD
Practice address
130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419
Phone
(301) 620-1692
Fax
(301) 620-1444
NPI assigned
Jul 7, 2006
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401006367 VA
Periodontics 1223P0300X 13952 MD Primary

Addresses

Primary practice location

130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419

Mailing address

130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419
Phone (301) 620-1692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 29, 2016 through Jun 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401006367VAMDDentist
13952MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1487686770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-620-1692",
            "fax_number": "301-620-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-620-1692",
            "fax_number": "301-620-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006367",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "13952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.