Active NPI
Robert Glendon Swarts, DDS,MS
- General Practice Dentistry
- Bowler, WI
National Provider Identifier
1013053024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6640
- Practice address
- W12802 County Highway a
Bowler, WI 54416 - Phone
- (715) 793-4144
- Fax
- (715) 793-5044
- NPI assigned
- Jan 29, 2007
- Last updated
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901011427 | MI | |
| General Practice Dentistry | 1223G0001X | 6640 | WI | Primary |
Addresses
Primary practice location
W12802 County Highway a
Bowler, WI 54416
Mailing address
PO Box 450
450 Old Abe Road
Lac Du Flambeau, WI 54538-0450
Phone (715) 588-4280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195816016 | Other | MI | BCBS MEDICAL PROVIDER NUM |
| 6640 | Other | WI | WI DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901011427 | MI | MD | General Practice Dentistry |
| 6640 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1013053024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450",
"address_2": "450 OLD ABE ROAD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545380450",
"telephone_number": "715-588-4280",
"fax_number": "715-588-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W12802 COUNTY HIGHWAY A",
"city": "BOWLER",
"state": "WI",
"postal_code": "54416",
"telephone_number": "715-793-4144",
"fax_number": "715-793-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTS",
"first_name": "ROBERT",
"middle_name": "GLENDON",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901011427",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEDICAL PROVIDER NUM",
"identifier": "195816016",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI DENTAL LICENSE",
"identifier": "6640",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowler, WI
- Stockbridge Munsee Community (Stockbridge Munsee Health & Wellness)
- Stockbridge Munsee Health and Wellness Center
- Stockbridge-Munsee Health and Wellness Center
- Jennifer Lynn Strassburg
- Kathleen McClelland Swarts, DDS
- Heather Warax, RN
- Thomas Paul Wargo, DC
- Bethany J Watters-Miller
- Thomas James Zehren, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.