Mose Vincent Snyder, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0113672 Issued in VT

Practice address

26 Canada St
Swanton, VT 05488-1335

Phone

(802) 868-2454

NPI assigned

Mar 26, 2014

Last updated

May 15, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

State licenses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1558788786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUELL ST",
            "address_2": "APARTMENT 3",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013807",
            "telephone_number": "802-777-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CANADA ST",
            "city": "SWANTON",
            "state": "VT",
            "postal_code": "054881335",
            "telephone_number": "802-868-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MOSE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0113672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025620",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Pothier, RD
• Sarah Germaine Rainville
• Roxanne Hanson Ladabouche (Giordano Manor Community Care Home)
• Danielle Aline Salomone, PA-C
• Dennis Smith, PA-C
• The Richford Health Center Inc (Swanton Health Center)
• The Richford Health Center Inc (NOTCH Dental Clinic)
• The Richford Health Center Inc
• The Richford Health Center, Inc. (Swanton Rexall)
• Tiffany Elizabeth Trombley, LCMHC, LMHC

• General Practice Dentistry in Swanton, VT
• Providers in Swanton, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.