Kevin W Snyder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN20752 Issued in FL

Practice address

13245 Atlantic Blvd Ste 6
Jacksonville, FL 32225-7118

Phone

(904) 220-7800

Fax

(904) 220-7800

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harbour Dental Care, P.a.

  • Dental Clinic/Center
  • St Augustine, FL
  • NPI 1760029268
  NPD (past) Authorized official
• Kevin W Snyder DDS, PA

  dba Harbour Dental Care

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1881096006
  NPD (past) Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1699089086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "904-220-7800",
            "fax_number": "904-220-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "904-220-7800",
            "fax_number": "904-220-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 San Marco Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320843257",
            "country_code": "US",
            "telephone_number": "904-810-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11295 Stonecreek Dr",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479138",
            "country_code": "US",
            "telephone_number": "614-846-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KEVIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023262",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securenetwork",
            "affiliation": "N",
            "endpointDescription": "securenetwork",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13245 Atlantic Blvd Ste 6",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322257118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily M Snyder, APRN
• Faith Togbeh Snyder, ARNP
• Gary Snyder, MD
• Hannah Snyder, MS
• John Snyder, M.A., M.S.
• Lauren Snyder, LMHC, ARNP
• Lydia L Snyder, MD
• Mark A Snyder, PTA
• Robert Warshel Snyder, DO
• Ruth Wester Snyder, M.S.CCC-SLP

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.