Active NPI
Samuel Reed Swainhart, DMD
- Dentist
- Scottsdale, AZ
National Provider Identifier
1144577792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160926002226 | AZ | Order and Referring Only - Dentist | 6204123821 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1275961971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.