Individual provider Active NPI

Thomas Dean Snarr, DDS

  • General Practice Dentistry
  • Rexburg, ID
National Provider Identifier
1649311408
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3021 Issued in ID
Practice address
44 S Center St
Rexburg, ID 83440-1916
Phone
(208) 356-4240
NPI assigned
Feb 12, 2007
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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 D3021 ID Primary

Addresses

Primary practice location

44 S Center St
Rexburg, ID 83440-1916

Mailing address

4368 Jud St
Rexburg, ID 83440-4380
Phone (208) 359-2466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20151218001862 ID Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395046221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D3021IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Dental PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1649311408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 JUD ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834404380",
            "telephone_number": "208-359-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S CENTER ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401916",
            "telephone_number": "208-356-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNARR",
        "first_name": "THOMAS",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.