Swift, Elrod and Green DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-9111 Issued in MN

Legal business name

SWIFT, ELROD AND GREEN DDS

Practice address

800 1St Ave SW
Austin, MN 55912-2507

Phone

(507) 437-8208

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter B. Green, DDS

Title

President

Phone

(507) 437-8208

Specialties & licenses 1

Addresses

Tax ID family

DRS Elrod Green DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Elrod Green DDS PA

  • General Practice Dentistry
  • Austin, MN
  • NPI 1972712321
  NPD tax ID

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1053662965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122507",
            "telephone_number": "507-437-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122507",
            "telephone_number": "507-437-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT, ELROD AND GREEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-437-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D-9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kristine Struck, D.C.
• Stanley Brent Stutzman, MA,LP
• Jordan Delany Sullivan
• Paul W Swan, RPH
• Ruth Sweetser
• Jaime Swift
• Nicole Christine Sztuk, D.O.
• Matthew Richard Talmadge, M.A., LPCC
• David Tapia
• Juan C Tapia

• Dental Clinic/Center in Austin, MN
• Providers in Austin, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.