Individual provider Active NPI

Randy Swade, DDS

  • Dentist
  • Toledo, OH
National Provider Identifier
1104205608
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024514 Issued in OH
Practice address
5552 Secor Rd
Toledo, OH 43623-1922
Phone
(419) 473-0788
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024514 OH Primary

Addresses

Primary practice location

5552 Secor Rd
Toledo, OH 43623-1922

Mailing address

5552 Secor Rd
Toledo, OH 43623-1922
Phone (419) 473-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260203003656 OH Practitioner - Dentist 9032605670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5552 Secor Rd
Unit C
Toledo, OH 43623-1922

5552 Secor Rd Unit C
Toledo, OH 43623-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024514OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nageeb N Swade DDS Inc CurrentSince Dec 13, 2025 Accepting new patients

Locations

5552 Secor Rd
Unit C
Toledo, OH 43623
Phone (419) 473-0788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1104205608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231922",
            "telephone_number": "419-473-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231922",
            "telephone_number": "419-473-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWADE",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.