Thomas William Snyder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17690 Issued in OH

Practice address

5035 Mayfield Rd Ste 202
Lyndhurst, OH 44124-2603

Phone

(216) 381-3381

Fax

(216) 381-5357

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861560526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD STE 202",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242603",
            "telephone_number": "216-381-3381",
            "fax_number": "216-381-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD STE 202",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242603",
            "telephone_number": "216-381-3381",
            "fax_number": "216-381-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jay Slodov, DDS, MSD
• Alexander Smith Jr.
• Kevin J Smith, PHD
• Tawonda Smith, RN
• SNF Transportation LLC
• South Euclid-Lyndhurst City School District
• Rebere Eduan Sparks
• Carol Spears
• Spectrum Diagnostic Imaging of Ohio LLC
• Reuven Spero

• General Practice Dentistry in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.