Individual provider Active NPI

Eric Lee Snyder, DDS

  • General Practice Dentistry
  • Sandusky, OH
National Provider Identifier
1619078359
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025322 Issued in OH
Practice address
420 Superior St
Sandusky, OH 44870-1849
Phone
(419) 626-5623
NPI assigned
Sep 26, 2006
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025322 OH Primary

Addresses

Primary practice location

420 Superior St
Sandusky, OH 44870-1849

Mailing address

420 Superior St
Sandusky, OH 44870-1849
Phone (419) 626-5623

Other practice location 1

316 Mason Rd W
Milan, OH 44846-9500
Phone (567) 867-5174

Other practice location 2

117 Addison St
Kelleys Island, OH 43438-6500
Phone (567) 867-5174

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180531002152 OH Order and Referring Only - DentistPractitioner - Dentist 1355631557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Office of Auditor Past Accepting new patients
Eric L. Snyder DDS Dentist Past Accepting new patients
Erie County Office of Auditor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.snyderdds.p1@direct.ecchc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1619078359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Mason Rd W",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "OH",
            "postal_code": "448469500",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Addison St",
            "address_purpose": "LOCATION",
            "city": "Kelleys Island",
            "state": "OH",
            "postal_code": "434386500",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.