Active NPI
Stanley Lawrence Swanson, DDS
- Dentist
- Mukilteo, WA
National Provider Identifier
1043301971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4265
- Practice address
- 8004 Mukilteo Speedway
Suite 7
Mukilteo, WA 98275 - Phone
- (425) 348-5445
- Fax
- (425) 355-7021
- NPI assigned
- Sep 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4265 | WA | Primary |
Addresses
Primary practice location
8004 Mukilteo Speedway
Suite 7
Mukilteo, WA 98275
Mailing address
PO Box 1630
Mukilteo, WA 98275
Phone (425) 348-5445
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 |
|---|---|---|---|
| 4265 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Family Dentistry Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Mukilteo, WA
- NPI 1336220045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043301971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "98275",
"telephone_number": "425-348-5445",
"fax_number": "425-355-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MUKILTEO SPEEDWAY",
"address_2": "SUITE 7",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "98275",
"telephone_number": "425-348-5445",
"fax_number": "425-355-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "STANLEY",
"middle_name": "LAWRENCE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "4265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, 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.