Patrick T Sweeney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25057 Issued in CA

Practice address

1101 W Tokay St
Ste 2
Lodi, CA 95240-3842

Phone

(209) 334-0760

Fax

(209) 334-5617

NPI assigned

Sep 20, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Matthew Kim DDS Inc

  • Dental Clinic/Center
  • Lodi, CA
  • NPI 1740062736
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376640466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W TOKAY ST",
            "address_2": "STE 2",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403842",
            "telephone_number": "209-334-0760",
            "fax_number": "209-334-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W TOKAY ST",
            "address_2": "STE 2",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403842",
            "telephone_number": "209-334-0760",
            "fax_number": "209-334-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutter Valley Medical Foundation
• Robert Eugene Sutter, D.D.S.,M.S.
• Diane C. Sutton, LAC
• Mitchell R Swanson, D.C.
• Chris R. Swartwood, PT
• Laurel Anne Synowicki, RN, IBCLC
• Michelle Anne Syverstad, PA-C
• Deranee Pearl G Tabor
• Monir Adel Taha, FNP-C
• Nadeem Khan Tahir-Kheli, M.D.

• General Practice Dentistry in Lodi, CA
• Providers in Lodi, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.