Individual provider Active NPI

John Leon Snuggs Jr., DMD

  • Pediatric Dentistry
  • West Monroe, LA
National Provider Identifier
1669539730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4925 Issued in LA
Practice address
3809 Whites Ferry Rd
West Monroe, LA 71291-2006
Phone
(318) 396-6204
Fax
(318) 396-9625
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4925 LA Primary

Addresses

Primary practice location

3809 Whites Ferry Rd
West Monroe, LA 71291-2006

Mailing address

3809 Whites Ferry Rd
West Monroe, LA 71291-2006
Phone (318) 396-6204

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

LicenseStateTypeSpecialty
4925LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
John L. Snuggs D.M.D Pediatric Dentistry CurrentSince Jul 21, 2024 Accepting new patients

Locations

73193 Highway 25
Covington, LA 70435
Phone (985) 630-6906

3809 Whites Ferry Rd
West Monroe, LA 71291
Phone (318) 396-6204

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669539730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 WHITES FERRY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912006",
            "telephone_number": "318-396-6204",
            "fax_number": "318-396-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 WHITES FERRY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912006",
            "telephone_number": "318-396-6204",
            "fax_number": "318-396-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNUGGS",
        "first_name": "JOHN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "4925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

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.

Verify at the official NPI Registry.