Individual provider Active NPI

Jimmy Dean Swan II, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1053306985
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5498 Issued in OK
Practice address
6401 NW Expressway
Suite 132
Oklahoma City, OK 73132-5170
Phone
(405) 728-2828
Fax
(405) 720-2929
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5498 OK Primary

Addresses

Primary practice location

6401 NW Expressway
Suite 132
Oklahoma City, OK 73132-5170

Mailing address

6401 NW Expressway
Suite 132
Oklahoma City, OK 73132-5170
Phone (405) 728-2828

Other identifiers 2

IdentifierTypeStateIssuer
030704OtherOKTRICARE CONCORDIA
2305498OtherOKDELTA

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

LicenseStateTypeSpecialty
5498OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All Smiles Dentistry, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053306985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 NW EXPRESSWAY",
            "address_2": "SUITE 132",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325170",
            "telephone_number": "405-728-2828",
            "fax_number": "405-720-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NW EXPRESSWAY",
            "address_2": "SUITE 132",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325170",
            "telephone_number": "405-728-2828",
            "fax_number": "405-720-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "JIMMY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CONCORDIA",
            "identifier": "030704",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "2305498",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.