Individual provider Active NPI

Andrew Charles Swiatowicz, DDS

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1023336187
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001301 Issued in DE
Practice address
1211 Milltown Rd
Wilmington, DE 19808-3003
Phone
(302) 239-8230
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001301 DE Primary

Addresses

Primary practice location

1211 Milltown Rd
Wilmington, DE 19808-3003

Mailing address

1211 Milltown Rd
Wilmington, DE 19808-3003
Phone (302) 239-8230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001434 DE Order and Referring Only - DentistPractitioner - Dentist 5193041382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001301DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Dental Sleep Medicine, LLC Current Accepting new patients
Swiatowicz Dental Associates, P.a. General Practice PastSince Aug 3, 2015 Accepting new patients

Locations

1211 Milltown Rd
Wilmington, DE 19808
Phone (302) 239-8230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1023336187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083003",
            "telephone_number": "302-239-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083003",
            "telephone_number": "302-239-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIATOWICZ",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.