NPIMap

Organization Active NPI

Peterson & Swartz DDS, PLLC

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1225444888
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7494 Issued in NC
Legal business name
PETERSON & SWARTZ DDS, PLLC
Practice address
10479 N. Highway 109
Suite 107 B
Winston Salem, NC 27107-9884
Phone
(701) 428-1730
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Gregory Taylor Swartz, DDS
Title
Owner
Phone
(336) 441-8032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7494 NC Primary

Addresses

Primary practice location

10479 N. Highway 109
Suite 107 B
Winston Salem, NC 27107-9884

Mailing address

10479 N. Highway 109
Suite 107 B
Winston Salem, NC 27107-9884
Phone (701) 428-1730

Other identifiers 1

IdentifierTypeStateIssuer
PE-G6JQU7H23MedicaidNC

National Provider Directory

National Provider Directory

Locations

10479 N NC Highway 109
Ste 107B
Winston Salem, NC 27107
Phone (701) 428-1730

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1225444888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10479 N. HIGHWAY 109",
            "address_2": "SUITE 107 B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079884",
            "telephone_number": "701-428-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10479 N. HIGHWAY 109",
            "address_2": "SUITE 107 B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079884",
            "telephone_number": "701-428-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON & SWARTZ DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-441-8032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PE-G6JQU7H23",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.