Swanson Family Dentristry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SWANSON FAMILY DENTRISTRY PA

Practice address

12450 Wayzata Blvd
Ste 214
Minnetonka, MN 55305-1934

Phone

(952) 545-2838

Fax

(952) 545-7649

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Timothy Swanson, DDSNPI 1245212802

Title

Pres

Phone

(952) 545-2838

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Timothy Swanson, DDS

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1245212802
  NPD (past) Authorized official
• Jeffrey A Rohrer, DDS

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1124128269
  NPD (past)
• Justin Skjei Swanson, DDS

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1154303717
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184788614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD",
            "address_2": "STE 214",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051934",
            "telephone_number": "952-545-2838",
            "fax_number": "952-545-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD",
            "address_2": "STE 214",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051934",
            "telephone_number": "952-545-2838",
            "fax_number": "952-545-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON FAMILY DENTRISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "952-545-2838",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supervalu Pharmacies Inc (Cub Pharmacy)
• Suppes Enterprises, Inc. (Janice A Suppes, DC)
• Janice A Suppes, DC
• Tracy Sutton, FNP-C
• Swanson & Walman PA
• James Timothy Swanson, DDS
• Justin Skjei Swanson, DDS
• Madelyn Swanson
• Rachel Marie Swanson, LPCC, LADC
• Joshua Campbell Sweeney, DC

• General Practice Dentistry in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.