Anna Ruth Schwam, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D11094 Issued in OR

Practice address

351 NW 4TH Ave
Canby, OR 97013-3505

Phone

(503) 447-4879

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

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.

• Clackamas Square Dental Group, PC

  • General Practice Dentistry
  • Happy Valley, OR
  • NPI 1336578418
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1194377978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15177 SE OREGON TRAIL DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133505",
            "telephone_number": "503-447-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11398 SE 82nd Ave Ste 802",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970867637",
            "country_code": "US",
            "telephone_number": "503-513-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAM",
        "first_name": "ANNA",
        "middle_name": "RUTH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11094",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dean Sanborn, LPC REGISTEED INTERN
• Jessica Leigh Sappenfield
• Catherine Mary Saunders, MA, LPC
• Nathan Denson Savage-Lee
• Judith Michelle Schmidt, RN
• Elisabeth Scott, MD
• Bette Gay Seagren, FNP
• Melanie Lynn Sellers
• Indira J Shelley
• Donna Jean Shilts-Maresh, O.T.R.

• Dentist in Canby, OR
• Providers in Canby, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.