Organization Active NPI

Mary Ellen Snyder, DDS, PC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1962085985
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARY ELLEN SNYDER, DDS, PC
Practice address
70 E 91St St Ste 103
Indianapolis, IN 46240-1550
Phone
(317) 844-6000
Fax
(317) 844-7321
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Mary Ellen Snyder, DDSNPI 1932394194
Title
President
Phone
(317) 844-6000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

70 E 91St St Ste 103
Indianapolis, IN 46240-1550

Mailing address

70 E 91St St Ste 103
Indianapolis, IN 46240-1550
Phone (317) 844-6000

Other names 1

  • Snyder and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

70 E 91st St
Ste 103
Indianapolis, IN 46240
Phone (317) 844-6000

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1962085985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401550",
            "telephone_number": "317-844-6000",
            "fax_number": "317-844-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401550",
            "telephone_number": "317-844-6000",
            "fax_number": "317-844-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN SNYDER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-844-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snyder and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.