Individual provider Active NPI

Tanner Swanson, DDS

  • Dentist
  • Aurora, CO
National Provider Identifier
1063104412
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205587 Issued in CO
Practice address
1444 S Potomac St Ste 100
Aurora, CO 80012-4516
Phone
(303) 337-2794
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205587 CO Primary

Addresses

Primary practice location

1444 S Potomac St Ste 100
Aurora, CO 80012-4516

Mailing address

1444 S Potomac St Ste 100
Aurora, CO 80012-4516
Phone (303) 337-2794

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
DEN.00205587COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soult & Swanson, PLLC Dentist Current Accepting new patients
Open and Affordable Dental Littleton West PLLC Dentist PastSince May 1, 2023 Accepting new patients

Locations

1444 S Potomac St
Ste 100
Aurora, CO 80012
Phone (303) 337-2794

Organizations & group practices 2

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1063104412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124516",
            "telephone_number": "303-337-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124516",
            "telephone_number": "303-337-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TANNER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.