Active NPI
Mariza Deborah Snyder, D.C.
- Chiropractor
- Oakland, CA
National Provider Identifier
1710213335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31189
- Practice address
- 4179 Piedmont Ave
#210
Oakland, CA 94611-5186 - Phone
- (510) 658-8740
- Fax
- (510) 658-8762
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31189 | CA | Primary |
Addresses
Primary practice location
4179 Piedmont Ave
#210
Oakland, CA 94611-5186
Mailing address
4179 Piedmont Ave
#210
Oakland, CA 94611-5186
Phone (510) 658-8740
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31189 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1710213335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 PIEDMONT AVE",
"address_2": "#210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115186",
"telephone_number": "510-658-8740",
"fax_number": "510-658-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4179 PIEDMONT AVE",
"address_2": "#210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115186",
"telephone_number": "510-658-8740",
"fax_number": "510-658-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MARIZA",
"middle_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.