Individual provider Active NPI

Chet Swartzentruber, D.M.D.

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1326487141
Registry record updated Jan 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6008 C1 Issued in AL
Practice address
4146 Carmichael Rd
Suite D
Montgomery, AL 36106-3634
Phone
(334) 270-9924
Fax
(334) 270-9904
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2015

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 6008 C1 AL Primary

Addresses

Primary practice location

4146 Carmichael Rd
Suite D
Montgomery, AL 36106-3634

Mailing address

2371 Fernway Dr
Montgomery, AL 36111-1603
Phone (334) 318-2176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006751 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0042524068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6008 C1ALMDGeneral Practice Dentistry
6008ALMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W. Scott, DMD, PC Past Accepting new patients
Carmichael Dental Care Past Accepting new patients

Organizations & group practices 2

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420070400000",
    "number": "1326487141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 FERNWAY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361111603",
            "telephone_number": "334-318-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 CARMICHAEL RD",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063634",
            "telephone_number": "334-270-9924",
            "fax_number": "334-270-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENTRUBER",
        "first_name": "CHET",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2015-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6008 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.