NPIMap

Organization Active NPI

Frederick Periodontal Associates

  • Periodontics
  • Frederick, MD
National Provider Identifier
1942659057
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
FREDERICK PERIODONTAL ASSOCIATES
Practice address
130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419
Phone
(301) 620-1692
Fax
(301) 620-1444
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Harold Snyder III, DDS,MS
Title
Doctor
Phone
(301) 620-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419

Mailing address

130 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4419
Phone (301) 620-1692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1942659057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-620-1692",
            "fax_number": "301-620-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-620-1692",
            "fax_number": "301-620-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-620-1692",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.