Individual provider Active NPI

Snober Tariq, DMD

  • Dentist
  • Waterbury, CT
National Provider Identifier
1801308150
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13935 Issued in CT
Practice address
160 Robbins St
Waterbury, CT 06708-2652
Phone
(352) 283-4402
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600670 MI
Dentist 122300000X DL13483 MA
Dentist 122300000X 13935 CT Primary

Addresses

Primary practice location

160 Robbins St
Waterbury, CT 06708-2652

Mailing address

507 Marlandwood Rd Apt 735
Temple, TX 76502-0091
Phone (352) 283-4402

Other practice location 1

1725 E Sherman Blvd
Muskegon, MI 49444-1862
Phone (231) 737-0037

Other practice location 2

Boston University
100 E Newton St G305
Boston, MA 02118
Phone (617) 638-4741

Other practice location 3

Hebrew SeniorLife
1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

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
13935CTMDDentist
DL13483MAMDDentist
2901600670MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1801308150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MARLANDWOOD RD APT 735",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765020091",
            "telephone_number": "352-283-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082652",
            "telephone_number": "352-283-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441862",
            "country_code": "US",
            "telephone_number": "231-737-0037",
            "fax_number": "231-760-5497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Boston University",
            "address_2": "100 E Newton St G305",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-4741",
            "fax_number": "617-638-4729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Hebrew SeniorLife",
            "address_2": "1200 Centre St",
            "address_purpose": "LOCATION",
            "city": "Roslindale",
            "state": "MA",
            "postal_code": "02131",
            "country_code": "US",
            "telephone_number": "617-363-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "SNOBER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600670",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13483",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.