Individual provider Active NPI

Steven John Swintosky, DMD

  • Dentist
  • Frankfort, KY
National Provider Identifier
1093085797
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5885 Issued in KY
Practice address
630 Comanche TRL Ste a
Frankfort, KY 40601-1754
Phone
(502) 226-1900
Fax
(502) 226-1990
NPI assigned
Jan 11, 2012
Last updated
Nov 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5885 KY Primary
General Practice Dentistry 1223G0001X 5885 KY

Addresses

Primary practice location

630 Comanche TRL Ste a
Frankfort, KY 40601-1754

Mailing address

630 Comanche TRL Ste a
Frankfort, KY 40601-1754
Phone (502) 226-1900

Other identifiers 1

IdentifierTypeStateIssuer
60058856MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001406 KY Order and Referring Only - Other (Non-Physician) 6901104603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Designing Smiles Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1093085797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COMANCHE TRL STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011754",
            "telephone_number": "502-226-1900",
            "fax_number": "502-226-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COMANCHE TRL STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011754",
            "telephone_number": "502-226-1900",
            "fax_number": "502-226-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTOSKY",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5885",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60058856",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.