Aaron Bradley Swingdorf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12928 Issued in MN

Practice address

600 Professional Dr
Northfield, MN 55057-2755

Phone

(507) 645-5264

Fax

(507) 663-0303

NPI assigned

May 31, 2011

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 27, 2016 through Apr 27, 2028

Medicare enrollment (NPD)

Not 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.

• Chaska Dental Center, P.a.

  • General Practice Dentistry
  • Chaska, MN
  • NPI 1891867941
  NPD (past)
• Professional Drive Dental Group P.a.

  • General Practice Dentistry
  • Northfield, MN
  • NPI 1164446282
  NPD (past)

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1154615847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572755",
            "telephone_number": "507-645-5264",
            "fax_number": "507-663-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572755",
            "telephone_number": "507-645-5264",
            "fax_number": "507-663-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGDORF",
        "first_name": "AARON",
        "middle_name": "BRADLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Stuckey, OTR/L
• Supervalu Pharmacies Inc
• Deborah Lee Suppes, M.D.
• Tara M Swanson, PA-C
• Tina Swenson, MS, CCC-SLP
• Kimberly Ann Szajner
• Kristin N Tapper, MD
• Megan Marie Tarmann, LMFT
• Phillip Tarmann, MA, LPCC, LADC
• Shannon Maura Tassava, PHD

• All providers in Northfield, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.