Grant Snider, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60925 Issued in KS

Practice address

2143 N Collective LN
Ste a
Wichita, KS 67206-3504

Phone

(316) 260-6566

NPI assigned

Apr 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant Snider DDS, LLC

  dba Derby Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Derby, KS
  • NPI 1700264017
  Authorized official Same address or phone
• Trimmell and Anders Orhtodontics Partnership

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wichita, KS
  • NPI 1962688952
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1780004721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN",
            "address_2": "STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063504",
            "telephone_number": "316-260-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN",
            "address_2": "STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063504",
            "telephone_number": "316-260-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald L Snell Jr., LSCSW
• Jonathan Michael Snell, DO
• Landon B Snell, P.A.-C
• Mikaela Kathleen Snell, DO
• Snell's Medical Pumps
• Rita Snider, LSCSW
• Patricia Snipes
• Lauren Snodgrass, PHARM.D.
• Michelle L Snodgrass, ARNP
• Ted Colin Snodgrass, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.