NPIMap

Organization Active NPI

Harbour Dental Care, P.a.

  • Dental Clinic/Center
  • Saint Augustine, FL
National Provider Identifier
1760029268
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARBOUR DENTAL CARE, P.A.
Practice address
75 San Marco Ave
Saint Augustine, FL 32084-3257
Phone
(904) 810-1002
NPI assigned
Dec 3, 2019
Organization subpart
Yes
Parent organization
KEVIN W SNYDER DDS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Kevin W Snyder, DDSNPI 1699089086
Title
President
Phone
(614) 940-8243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

75 San Marco Ave
Saint Augustine, FL 32084-3257

Mailing address

75 San Marco Ave
Saint Augustine, FL 32084-3257
Phone (904) 810-1002

National Provider Directory

National Provider Directory
Part of
Kevin W Snyder DDS PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1760029268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SAN MARCO AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320843257",
            "telephone_number": "904-810-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SAN MARCO AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320843257",
            "telephone_number": "904-810-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR DENTAL CARE, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEVIN W SNYDER DDS, PA",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-940-8243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.