Active NPI
Robert Lee Swords, DDS
- Prosthodontics
- Springfield, MO
National Provider Identifier
1205944105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2005002091
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401049200 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005002091 | MO | MD | Prosthodontist |
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.