Active NPI
Patrick Micheal Snyder, D.D.S.
- General Practice Dentistry
- Chippewa Falls, WI
National Provider Identifier
1639192776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5001705G
- Practice address
- 777 E Park Ave
Chippewa Falls, WI 54729-3508 - Phone
- (715) 723-0366
- Fax
- (715) 723-4635
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001705G | WI | Primary |
Addresses
Primary practice location
777 E Park Ave
Chippewa Falls, WI 54729-3508
Mailing address
777 E Park Ave
Chippewa Falls, WI 54729-3508
Phone (715) 723-0366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001705G | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health, Inc. | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Chippewa Falls, WI
- NPI 1144239724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639192776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E PARK AVE",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293508",
"telephone_number": "715-723-0366",
"fax_number": "715-723-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E PARK AVE",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293508",
"telephone_number": "715-723-0366",
"fax_number": "715-723-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "PATRICK",
"middle_name": "MICHEAL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5001705G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
- Elizabeth L Slack
- Jodi Lynn Budd Slinde, M.S., CCC-SLP
- Smiles in Motion, S.C. (Smiles in Motion)
- Patricia Mae Smoczyk, M.S. CCC-SLP
- Snowhill Healthcare, LLC (Wissota Health & Regional Vent Center)
- Colette Solatka, M.D.
- Namita Somani, DDS
- Mary Jo Sorensen, MS, LMFT
- Keri Lynne Spegman, BSN
- Sara L. Spelbring, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.