Individual provider Active NPI

James Q Swift, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Minneapolis, MN
National Provider Identifier
1255304507
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
10436 Issued in MN
Practice address
515 Delaware St SE
7-174 Moos Tower
Minneapolis, MN 55455
Phone
(612) 624-4435
Fax
(612) 624-2669
NPI assigned
Feb 8, 2006
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 10436 MN Primary

Addresses

Primary practice location

515 Delaware St SE
7-174 Moos Tower
Minneapolis, MN 55455

Mailing address

2854 Highway 55
Suite 130
Eagan, MN 55121
Phone (651) 842-3344

Other identifiers 1

IdentifierTypeStateIssuer
704222100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001163 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3971570623

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Delaware St SE
Minneapolis, MN 55455-0357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10436MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota CurrentSince Dec 30, 2015 Accepting new patients
Regents of the University of Minnesota CurrentSince Dec 30, 2015 Accepting new patients
Regents of the University of Minnesota Current Accepting new patients
Maxillofacial and Oral Surgery PA Oral & Maxillofacial Surgery PastSince Dec 6, 2005 Accepting new patients

Locations

515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455

Interoperability endpoints

  • Direct secure messaging: jswift189003@fairview.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1255304507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-842-3344",
            "fax_number": "651-842-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "7-174 MOOS TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-624-4435",
            "fax_number": "612-624-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "JAMES",
        "middle_name": "Q",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "10436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704222100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.