Individual provider Active NPI

Kevin Snyder

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Spanish Fort, AL
National Provider Identifier
1649677436
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Practice address
30466 SGT E I Boots Thomas Dr
Suite 206a
Spanish Fort, AL 36527-7630
Phone
(251) 626-4605
Fax
(251) 517-1014
NPI assigned
Nov 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

30466 SGT E I Boots Thomas Dr
Suite 206a
Spanish Fort, AL 36527-7630

Mailing address

30466 SGT E I Boots Thomas Dr
Suite 206a
Spanish Fort, AL 36527-7630
Phone (251) 626-4605

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

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": "1416700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416700800000",
    "number": "1649677436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30466 SGT E I BOOTS THOMAS DR",
            "address_2": "SUITE 206A",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277630",
            "telephone_number": "251-626-4605",
            "fax_number": "251-517-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30466 SGT E I BOOTS THOMAS DR",
            "address_2": "SUITE 206A",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277630",
            "telephone_number": "251-626-4605",
            "fax_number": "251-517-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-23",
        "last_updated": "2014-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.