Bhavani Swarna, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018910 Issued in MI

Practice address

35102 W Michigan Ave
Wayne, MI 48184-1785

Phone

(734) 728-8800

Fax

(734) 728-3061

NPI assigned

May 24, 2006

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Wayne Family Dental Association PC

  • General Practice Dentistry
  • Wayne, MI
  • NPI 1447402805
  NPD Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1033164280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35102 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841785",
            "telephone_number": "734-728-8800",
            "fax_number": "734-728-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35102 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841785",
            "telephone_number": "734-728-8800",
            "fax_number": "734-728-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARNA",
        "first_name": "BHAVANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022226",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4887078",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paranthaman Sundaravaradan, PT
• Padma Surapaneni, M.D.
• Advika Surnilla
• Leela Surulinarayanasami, MD PC
• SVS Vision Inc
• Saima Afreen Syed, MD
• Mariam Tahini, PHARMD
• Heba R Tajwar, M.D.
• Kourtni Talley, LMSW
• Ibrahim Tayeh, DPM

• General Practice Dentistry in Wayne, MI
• Providers in Wayne, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.