Amy Swanson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10462-16 Issued in WI

Practice address

900 6TH St N Ste 106
Hudson, WI 54016-7153

Phone

(651) 587-3395

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1245933993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 VAIL WAY N",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162391",
            "telephone_number": "651-587-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH ST N STE 106",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167153",
            "telephone_number": "651-587-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "AMY",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10462-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Unity LLC
• Savannah Sund
• Leslie Winter Surbeck, MD
• Jonathan L Susa I, D.O.
• Mya Sutton
• Martha J Swanson, PTA
• Amy M Swenson
• Jessica Rae Tangen, IBCLC
• Haley Ruth Taormina
• Tareen Dermatology, P.a.

• Dental Hygienist in Hudson, WI
• Providers in Hudson, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.