Individual provider Active NPI

James Stanford Swanson, DDS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1306932306
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006883 Issued in WA
Practice address
4115 University Way NE
Suite 117
Seattle, WA 98105-6257
Phone
(206) 633-1048
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00006883 WA Primary

Addresses

Primary practice location

4115 University Way NE
Suite 117
Seattle, WA 98105-6257

Mailing address

4115 University Way NE
Suite 117
Seattle, WA 98105-6257
Phone (206) 633-1048

Other identifiers 1

IdentifierTypeStateIssuer
5028717MedicaidWA

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
DE00006883WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James S Swanson DDS General Practice Current Accepting new patients

Locations

4115 University Way NE
Ste 117
Seattle, WA 98105
Phone (206) 633-1048

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306932306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "SUITE 117",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056257",
            "telephone_number": "206-633-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "SUITE 117",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056257",
            "telephone_number": "206-633-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JAMES",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028717",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.