NPIMap

Organization Active NPI

Kevin W Snyder DDS, PA

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1881096006
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN 20752 Issued in FL
Legal business name
KEVIN W SNYDER DDS, PA
Practice address
13245 Atlantic Blvd Ste 6
Jacksonville, FL 32225-7118
Phone
(904) 220-7800
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Kevin W Snyder, DDSNPI 1699089086
Title
President
Phone
(904) 220-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN 20752 FL Primary

Addresses

Primary practice location

13245 Atlantic Blvd Ste 6
Jacksonville, FL 32225-7118

Mailing address

13245 Atlantic Blvd Ste 6
Jacksonville, FL 32225-7118
Phone (904) 220-7800

Other names 1

  • Harbour Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

13245 Atlantic Blvd
Ste 6
Jacksonville, FL 32225
Phone (904) 220-7800

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1881096006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "904-220-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257118",
            "telephone_number": "904-220-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN W SNYDER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-220-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 20752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.