Organization Active NPI

Julia Tyson Snyder, D.D.S., P.a.

Doing business as Mountaineer Dental & Sleep Center

  • General Practice Dentistry
  • Boone, NC
National Provider Identifier
1528330289
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8037 Issued in NC
Legal business name
JULIA TYSON SNYDER, D.D.S., P.A.
Doing business as
Mountaineer Dental & Sleep Center
Practice address
450 New Market Blvd Ste 2
Boone, NC 28607-5501
Phone
(828) 265-1112
Fax
(828) 265-2836
NPI assigned
Jan 27, 2012
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Dr. Julia Tyson Snyder, DDSNPI 1285794214
Title
President
Phone
(828) 265-1112

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8037 NC Primary

Addresses

Primary practice location

450 New Market Blvd Ste 2
Boone, NC 28607-5501

Mailing address

450 New Market Blvd Ste 2
Boone, NC 28607-5501
Phone (828) 265-1112

Other identifiers 2

IdentifierTypeStateIssuer
1285794214OtherPERSONAL NPI
1891873097MedicaidNC

Other names 2

  • Mountaineer Dental & Sleep Center Doing business as
  • Julia Tyson Snyder, D.D.S., P.A. Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address boone@mountaineerdental.com Direct
Direct Messaging Address sleep@mountaineerdental.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210308001667 NC DME Supplier - Oral Surgery - DentistDME Supplier - Sleep Laboratory/Medicine 5799191268 Practice locations: Boone, NC

National Provider Directory

National Provider Directory

Locations

450 New Market Blvd
Ste 2
Boone, NC 28607
Phone (828) 264-0333

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1528330289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-265-1112",
            "fax_number": "828-265-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-265-1112",
            "fax_number": "828-265-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA TYSON SNYDER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-265-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1285794214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891873097",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boone@mountaineerdental.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 New Market Blvd",
            "address_2": "2",
            "city": "Boone",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286075494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sleep@mountaineerdental.com",
            "affiliation": "N",
            "endpointDescription": "Sleep Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 New Market Blvd",
            "address_2": "2",
            "city": "Boone",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286075494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mountaineer Dental & Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Julia Tyson Snyder, D.D.S., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.