Individual provider Active NPI

Robert David Swenson, DDS, MS

  • Periodontics
  • Lehi, UT
National Provider Identifier
1154701993
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10722266-9923 Issued in UT
Practice address
3397 N 1200 E Ste 111
Lehi, UT 84043
Phone
(801) 766-6966
NPI assigned
Jun 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 10722266-9923 UT Primary

Addresses

Primary practice location

3397 N 1200 E Ste 111
Lehi, UT 84043

Mailing address

322 Dental Science BLDG S
Iowa City, IA 52242-1001
Phone (319) 335-7442

Other practice location 1

446 Dental Science Bldg S
Iowa City, IA 52242-1001
Phone (319) 335-7233

Other practice location 2

279 E 5900 S Ste 200
Murray, UT 84107-5424
Phone (801) 293-1234

Other practice location 3

1729 Sidewinder Dr Ste 102
Park City, UT 84060-7518
Phone (435) 633-9197

Other practice location 4

1844 E 9400 S
Sandy, UT 84093-3000
Phone (801) 590-3266

Other practice location 5

774 S 1600 W Apt 103
Mapleton, UT 84664-4344
Phone (801) 396-2944

Other practice location 6

785 E 200 S Ste 1
Lehi, UT 84043-2291
Phone (801) 331-8545

Other practice location 7

2520 N University Ave Ste 101
Provo, UT 84604-6081
Phone (801) 426-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10722266-9923UTMDPeriodontist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
PDC- Lehi Utah PastSince Jul 17, 2021 Accepting new patients
Mountainview Periodontics Ogden LLC Periodontics Past Accepting new patients
Alpen Implants and Periodontics Specialists LLC Periodontics PastSince Jan 2, 2022 Accepting new patients
Platinum Dental Care Past Accepting new patients

Networks

  • UT PPO D-SNP

Organizations & group practices 4

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": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1154701993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DENTAL SCIENCE BLDG S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421001",
            "telephone_number": "319-335-7442",
            "fax_number": "319-335-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 N 1200 E STE 111",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "801-766-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Dental Science Bldg S",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421001",
            "country_code": "US",
            "telephone_number": "319-335-7233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 E 5900 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075424",
            "country_code": "US",
            "telephone_number": "801-293-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 Sidewinder Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607518",
            "country_code": "US",
            "telephone_number": "435-633-9197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 E 9400 S",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840933000",
            "country_code": "US",
            "telephone_number": "801-590-3266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 S 1600 W Apt 103",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "UT",
            "postal_code": "846644344",
            "country_code": "US",
            "telephone_number": "801-396-2944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 E 200 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840432291",
            "country_code": "US",
            "telephone_number": "801-331-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 N University Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046081",
            "country_code": "US",
            "telephone_number": "801-426-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "10722266-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.