Active NPI
Dallin Reed Snow, D.M.D.
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1881007821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008947
- Practice address
- 4420 E Baseline Rd
Mesa, AZ 85206-4681 - Phone
- (480) 982-7289
- NPI assigned
- Jun 6, 2014
- Last updated
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D008947 | AZ | Primary |
Addresses
Primary practice location
4420 E Baseline Rd
Mesa, AZ 85206-4681
Mailing address
4713 E Grove Cir
Mesa, AZ 85206-3369
Phone (480) 272-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929003313 | AZ | Order and Referring Only - Oral Surgery | 6204144900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Family Smiles LLC | Current | Accepting new patients |
Locations
4420 E Baseline Rd
Mesa, AZ 85206
Phone (480) 982-7289
4540 E Baseline Rd
Ste 110
Mesa, AZ 85206
Phone (480) 764-2111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1881007821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 E GROVE CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063369",
"telephone_number": "480-272-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 E BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852064681",
"telephone_number": "480-982-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "DALLIN",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.