Active NPI
Jeffrey Scott Snider, D.C.
- Chiropractor
- Clarksville, AR
National Provider Identifier
1588607477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1493
- Practice address
- 1012 E Poplar St
Clarksville, AR 72830-4427 - Phone
- (479) 754-9550
- Fax
- (479) 754-9557
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1493 | AR | Primary |
Addresses
Primary practice location
1012 E Poplar St
Clarksville, AR 72830-4427
Mailing address
1012 E Poplar St
Clarksville, AR 72830-4427
Phone (479) 754-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138348718 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070713000639 | AR | Practitioner - Chiropractic | 8527168996 | Practice locations: Clarksville, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1012 E Poplar St
Clarksville, AR 72830-4427
Phone (479) 754-9550
1012 Poplar St
Clarksville, AR 72830-4427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snider Family Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- jsnider@sfcc0005.direct.chirotouch.md
Organizations & group practices 1
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.
-
- Chiropractor
- Clarksville, AR
- NPI 1437364684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1588607477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304427",
"telephone_number": "479-754-9550",
"fax_number": "479-754-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304427",
"telephone_number": "479-754-9550",
"fax_number": "479-754-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138348718",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.