Kathryn Lynn Swanson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901021795 Issued in MI

Practice address

3250 Central Blvd
Hudsonville, MI 49426-1439

Phone

(616) 669-6600

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Tongue Tie Specialists of West Michigan

  • Pediatric Dentistry
  • Grand Rapids, MI
  • NPI 1861191280
  NPD Authorized official
• Pediatric Dental Specialists of West Michigan

  • Pediatric Dentistry
  • Grand Rapids, MI
  • NPI 1184194433
  NPD (past) Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1053726422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MARSMAN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463825",
            "telephone_number": "248-705-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 CENTRAL BLVD",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261439",
            "telephone_number": "616-669-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 E Paris Ave SE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466142",
            "country_code": "US",
            "telephone_number": "616-608-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Marsman Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463825",
            "country_code": "US",
            "telephone_number": "248-705-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901021795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Stern, P.T., D.P.T
• Amanda Marie Stienstra, LMSW
• Deborah Lynn Stowie, LLPC
• Samantha Ines Stowitts, LLPC
• Katherine Straus, LMSW
• Steven James Swindle, DC
• Audrey E Szlachcic, PA-C
• Ryan Takens
• Talsma Furniture, Inc.
• Philip Taylor, DO

• Pediatric Dentistry in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.