Individual provider Active NPI

Samuel Reed Swainhart, DMD

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1144577792
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009223 Issued in AZ
Practice address
34597 N 60TH St
Suite #103
Scottsdale, AZ 85266-5241
Phone
(480) 488-7010
Fax
(480) 488-7008
NPI assigned
Aug 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009223 AZ Primary

Addresses

Primary practice location

34597 N 60TH St
Suite #103
Scottsdale, AZ 85266-5241

Mailing address

4056 E Weaver Rd
Phoenix, AZ 85050-6884
Phone (859) 866-1504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160926002226 AZ Order and Referring Only - DentistPractitioner - Dentist 6204123821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carefree Smile LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1144577792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 E WEAVER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506884",
            "telephone_number": "859-866-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST",
            "address_2": "SUITE #103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665241",
            "telephone_number": "480-488-7010",
            "fax_number": "480-488-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAINHART",
        "first_name": "SAMUEL",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.