Organization Active NPI

Nicholas R. Snavely, MD, PLLC

Doing business as River Place Mohs & Dermatologic Surgery Center

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1760878045
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NICHOLAS R. SNAVELY, MD, PLLC
Doing business as
River Place Mohs & Dermatologic Surgery Center
Practice address
10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159
Phone
(512) 767-7546
Fax
(512) 767-7545
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Nicholas R Snavely, MD
Title
Owner
Phone
(512) 767-7546

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X

Addresses

Primary practice location

10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159

Mailing address

10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159
Phone (512) 767-7546

Other names 1

  • River Place Mohs & Dermatologic Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1760878045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 RR 2222",
            "address_2": "BLDG 3A, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301159",
            "telephone_number": "512-767-7546",
            "fax_number": "512-767-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 RR 2222",
            "address_2": "BLDG 3A, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301159",
            "telephone_number": "512-767-7546",
            "fax_number": "512-767-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS R. SNAVELY, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SNAVELY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-767-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Place Mohs & Dermatologic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.