Individual provider Active NPI

Randall Myles Sneider, D.M.D.

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1881648012
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11032 Issued in MA
Practice address
313 Washington St
Suite 217
Newton, MA 02458-1626
Phone
(617) 332-9628
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11032 MA Primary

Addresses

Primary practice location

313 Washington St
Suite 217
Newton, MA 02458-1626

Mailing address

18 Sevland Rd
Newton, MA 02459-2840
Phone (617) 964-0922

Other identifiers 1

IdentifierTypeStateIssuer
11032OtherMADENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20161108000045 MA Order and Referring Only - DentistPractitioner - Dentist 6507088358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11032MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881648012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SEVLAND RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592840",
            "telephone_number": "617-964-0922",
            "fax_number": "617-964-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WASHINGTON ST",
            "address_2": "SUITE 217",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581626",
            "telephone_number": "617-332-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEIDER",
        "first_name": "RANDALL",
        "middle_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "11032",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.