Sierra Oral & Maxillofacial Surgery, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33993 Issued in CA

Legal business name

SIERRA ORAL & MAXILLOFACIAL SURGERY, INC

Practice address

1364 Whispering Pines LN
Suite a
Grass Valley, CA 95945-5975

Phone

(530) 272-3111

Fax

(530) 272-4111

NPI assigned

Dec 26, 2011

Last updated

Dec 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy C Snyder, DDS, MDNPI 1164415527

Title

Owner

Phone

(530) 272-3111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy C Snyder, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Grass Valley, CA
  • NPI 1164415527
  Authorized official Same address or phone

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1992074611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ORAL & MAXILLOFACIAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-272-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "33993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Nevada Primary Care (Sierra Care Physicians)
• Sierra Nevada Primary Care (Sierra Care Physicians)
• Sierra Nevada Primary Care (Sierra Care Physicians)
• Sierra Nevada Primary Care Physicians a Medical Corporation (Sierra Care Physicians, AMC)
• Sierra Nevada Urology Medical Associates, Inc.
• Sierra Outpatient Anesthesia Inc
• Sierra Physical Therapy & Rehab Inc
• Sierra Physicians Inc.
• Sierra Radiation Oncology a Medical Corporation
• Sierra Sleep Diagnostics Inc.

• Oral and Maxillofacial Surgery (Dentist) in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.