Individual provider Active NPI

Robert Lee Swords, DDS

  • Prosthodontics
  • Springfield, MO
National Provider Identifier
1205944105
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2005002091 Issued in MO
Practice address
618 N Benton Ave
Springfield, MO 65806-1102
Phone
(417) 831-0150
Fax
(417) 831-0155
NPI assigned
Aug 29, 2006
Last updated
Mar 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2005002091 MO Primary

Addresses

Primary practice location

618 N Benton Ave
Springfield, MO 65806-1102

Mailing address

PO Box 5681
Springfield, MO 65801-5681
Phone (417) 831-0150

Other identifiers 1

IdentifierTypeStateIssuer
401049200MedicaidMO

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

State licenses

LicenseStateTypeSpecialty
2005002091MOMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1205944105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5681",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658015681",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N BENTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061102",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWORDS",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "2005002091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401049200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.