Individual provider Active NPI

Philip A Snyder, D.C.

  • Chiropractor
  • Dade City, FL
National Provider Identifier
1942586466
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10458 Issued in FL
Practice address
14028 5TH St
Dade City, FL 33525-4311
Phone
(352) 600-2232
Fax
(352) 292-0136
NPI assigned
Oct 28, 2011
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010638 PA
Chiropractor 111N00000X CH10458 FL Primary

Addresses

Primary practice location

14028 5TH St
Dade City, FL 33525-4311

Mailing address

14028 5TH St
Dade City, FL 33525-4311
Phone (352) 600-2232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000273 FL Practitioner - Chiropractic 8628242682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14028 5TH St
Suite a
Dade City, FL 33525-4311
Phone (352) 600-2232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010638PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wellness & Sports Rehab, LLC CurrentSince Jun 15, 2012 Accepting new patients
Tampa Bay Healthcare Associates LLC CurrentSince Jan 25, 2019 Accepting new patients
Comprehensive Spine & Sport Injury Rehab, LLC Current Accepting new patients
Wellness Concepts of Florida Chiropractor PastSince Mar 20, 2006 Accepting new patients

Locations

14028 5th St
Dade City, FL 33525
Phone (352) 567-2700

14028 5th St
Ste A
Dade City, FL 33525
Phone (352) 600-2232

Organizations & group practices 4

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": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1942586466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14028 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254311",
            "telephone_number": "352-600-2232",
            "fax_number": "352-292-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14028 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254311",
            "telephone_number": "352-600-2232",
            "fax_number": "352-292-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010638",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.