Active NPI
Taylor N Snider, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1790272904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- APPLYING
- Practice address
- 1150 N Lake Shore Dr Apt 20G
Chicago, IL 60611-5233 - Phone
- (256) 738-6288
- NPI assigned
- Apr 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | APPLYING | MA | Primary |
Addresses
Primary practice location
1150 N Lake Shore Dr Apt 20G
Chicago, IL 60611-5233
Mailing address
91 Ferncroft Rd
Milton, MA 02186-2635
Phone (978) 867-0860
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 |
|---|---|---|---|
| APPLYING | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Dental Partners | Current | 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
- Georgetown, MA
- NPI 1386221919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1790272904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 FERNCROFT RD",
"city": "MILTON",
"state": "MA",
"postal_code": "021862635",
"telephone_number": "978-867-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N LAKE SHORE DR APT 20G",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115233",
"telephone_number": "256-738-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "TAYLOR",
"middle_name": "N",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "APPLYING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- SNF Physiatry Services Il PLLC
- Thomas W Snickenberger, M.D.
- Josephine Snider, MD
- Krista Renee Snider, SA-C
- Shelby Lauren Snider, RN
- Sniderman Counseling Center PLLC
- Elizabeth Rose Sniderman, RN, APN
- Susan Elizabeth Sniderman, MSW
- Alexandra Gabrielle Sniegowski, OTR/L
- James Harold Sniegowski, RPH, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.