Individual provider Active NPI

Robert Glendon Swarts, DDS,MS

  • General Practice Dentistry
  • Bowler, WI
National Provider Identifier
1013053024
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6640 Issued in WI
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
195816016OtherMIBCBS MEDICAL PROVIDER NUM
6640OtherWIWI 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

LicenseStateTypeSpecialty
2901011427MIMDGeneral Practice Dentistry
6640WIMDGeneral 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

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.

Verify at the official NPI Registry.