Jeffrey Tyra Snyder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4966 Issued in NM

Practice address

1316 Jackie Rd SE Ste 200
Rio Rancho, NM 87124-1045

Phone

(505) 994-9693

NPI assigned

Aug 5, 2018

Last updated

Aug 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1508344185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 W KERRY LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087690",
            "telephone_number": "505-440-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 200",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-994-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEFFREY",
        "middle_name": "TYRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica J Smith, CSFA
• Paula E Smith, FNP-C
• Shane Smith, MT22009
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #413)
• Kendra A Snearly, P.T.
• Socorro Dental Care Inc. (uSmile Dental LLC)
• Ariana Rose Solaequi
• Mahdis Solhjoo, MD
• Amy Louise Sollars, NP
• Daniel Richard Soriano

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.