Individual provider Active NPI

Ronald K Snyder, DDS

  • General Practice Dentistry
  • Richland, WA
National Provider Identifier
1700897865
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6023 Issued in WA
Practice address
1050 Gillmore Ave
Suite B
Richland, WA 99352-3382
Phone
(509) 946-2258
Fax
(509) 946-1211
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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 6023 WA Primary

Addresses

Primary practice location

1050 Gillmore Ave
Suite B
Richland, WA 99352-3382

Mailing address

1050 Gillmore Ave
Suite B
Richland, WA 99352-3382
Phone (509) 946-2258

Other identifiers 1

IdentifierTypeStateIssuer
5033246MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070117000089 WA Practitioner - Oral Surgery 6608877766 Practice locations: Richland, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6023WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Dental Center, PLLC PastSince Jul 6, 2011 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1700897865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523382",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE",
            "address_2": "SUITE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523382",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RONALD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5033246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.