Timothy Ryan Swanson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS108440 Issued in CA

Practice address

12218 Apple Valley Rd Ste 110
Apple Valley, CA 92308-1704

Phone

(760) 300-3678

NPI assigned

Jan 18, 2023

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stromberg and Shetty Dental Corporation

  • General Practice Dentistry
  • Apple Valley, CA
  • NPI 1639350119
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1083329635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26232 NOTTINGHAM DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544163",
            "telephone_number": "805-657-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 APPLE VALLEY RD STE 110",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081704",
            "telephone_number": "760-300-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Choi DDS Inc
• Andrew Sundin, M.D.
• Sunil Patel, D.O., Inc.
• Sunrise Healthcare
• Surgical Precision, Inc
• Shannon Sweda
• Stephanie Sweem
• Syed J Raza MD Inc
• Symmetry Physical Therapy Inc
• James Michael Syms, P.T.

• General Practice Dentistry in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.