Individual provider Active NPI

Kevin James Snyder, DC

  • Chiropractor
  • Marion, OH
National Provider Identifier
1508957424
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3079 Issued in OH
Practice address
1075 E Center St
Marion, OH 43302-4450
Phone
(740) 387-1509
Fax
(740) 387-4823
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3079 OH Primary

Addresses

Primary practice location

1075 E Center St
Marion, OH 43302-4450

Mailing address

PO Box 1833
Marion, OH 43301-1833
Phone (740) 387-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000472 OH Practitioner - Chiropractic 0446314363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawson Chiropractic Center LLCGroup PAC ID 4688738594, 2 clinicians

Practice addresses (Care Compare)

1075 E Ctr St
Marion, OH 43302-4450
Phone (740) 387-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3079OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawson Chiropractic Center, LLC Chiropractor CurrentSince Nov 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1075 E Center St
Marion, OH 43302
Phone (740) 387-1509

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1508957424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433011833",
            "telephone_number": "740-387-1509",
            "fax_number": "740-387-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024450",
            "telephone_number": "740-387-1509",
            "fax_number": "740-387-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.