Active NPI
Jon Reid Swenson I, D.D.S.
- General Practice Dentistry
- Federal Way, WA
National Provider Identifier
1033280086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5105
- Practice address
- 2335 SW 320TH St
Ste.2
Federal Way, WA 98023-2569 - Phone
- (253) 838-9715
- Fax
- (253) 838-7009
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5105 | WA | Primary |
Addresses
Primary practice location
2335 SW 320TH St
Ste.2
Federal Way, WA 98023-2569
Mailing address
2335 SW 320TH STR.
Ste.2
Federal Way, WA 98023
Phone (253) 838-9715
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5105 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033280086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 SW 320TH STR.",
"address_2": "STE.2",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98023",
"telephone_number": "253-838-9715",
"fax_number": "253-838-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 SW 320TH ST",
"address_2": "STE.2",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232569",
"telephone_number": "253-838-9715",
"fax_number": "253-838-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "JON",
"middle_name": "REID",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.