Active NPI
Marshall Snodgrass, DDS
- General Practice Dentistry
- Marshfield, MO
National Provider Identifier
1740401892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012748
- Practice address
- 14303 State Highway 38
Marshfield, MO 65706-8952 - Phone
- (417) 859-0711
- Fax
- (417) 859-0718
- NPI assigned
- May 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012748 | MO | Primary |
Addresses
Primary practice location
14303 State Highway 38
Marshfield, MO 65706-8952
Mailing address
14303 State Highway 38
Marshfield, MO 65706-8952
Phone (417) 859-0711
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 |
|---|---|---|---|
| 012748 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Benjamin Alvarez DDS, LLC | Past | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Marshfield, MO
- NPI 1679066690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1740401892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14303 STATE HIGHWAY 38",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657068952",
"telephone_number": "417-859-0711",
"fax_number": "417-859-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14303 STATE HIGHWAY 38",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657068952",
"telephone_number": "417-859-0711",
"fax_number": "417-859-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODGRASS",
"first_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.