Individual provider Active NPI

Timothy Robert Snyder, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, PA
National Provider Identifier
1770841900
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS037660 Issued in PA
Practice address
1801 Fruitville Pike
Lancaster, PA 17601-4079
Phone
(717) 569-7001
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS037660 PA Primary

Addresses

Primary practice location

1801 Fruitville Pike
Lancaster, PA 17601-4079

Mailing address

1801 Fruitville Pike
Lancaster, PA 17601-4079
Phone (717) 569-7001

Other practice location 1

270 Main St
Landisville, PA 17538-1246
Phone (717) 584-1964

Other practice location 2

2465 New Holland Pike
Lancaster, PA 17601-5935
Phone (717) 584-1964

Other practice location 3

14 Copperfield Cir
Lititz, PA 17543-9481
Phone (717) 584-1964

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

LicenseStateTypeSpecialty
DS037660PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Op Orthodontics of Pennsylvania LLC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 5, 2023 Accepting new patients
Lancaster Orthodontic Associates, LLC Orthodontics and Dentofacial Orthopedics PastSince Nov 5, 2023 Accepting new patients

Locations

2465 New Holland Pike
Lancaster, PA 17601
Phone (717) 219-9174

1801 Fruitville Pike
Lancaster, PA 17601
Phone (717) 219-9174

270 Main St
Landisville, PA 17538
Phone (717) 219-9174

14 Copperfield Cir
Lititz, PA 17543
Phone (717) 219-9174

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1770841900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FRUITVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014079",
            "telephone_number": "717-569-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FRUITVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014079",
            "telephone_number": "717-569-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Main St",
            "address_purpose": "LOCATION",
            "city": "Landisville",
            "state": "PA",
            "postal_code": "175381246",
            "country_code": "US",
            "telephone_number": "717-584-1964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2465 New Holland Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176015935",
            "country_code": "US",
            "telephone_number": "717-584-1964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Copperfield Cir",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439481",
            "country_code": "US",
            "telephone_number": "717-584-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS037660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.