Organization Active NPI

Swanson Dental Care PC

  • General Practice Dentistry
  • Perry, IA
National Provider Identifier
1376791061
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SWANSON DENTAL CARE PC
Practice address
1212 Willis Ave
Perry, IA 50220-1632
Phone
(515) 465-5170
Fax
(515) 465-5573
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Robert SwansonNPI 1649431446
Title
President
Phone
(515) 465-5170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1212 Willis Ave
Perry, IA 50220-1632

Mailing address

1212 Willis Ave
Perry, IA 50220-1632
Phone (515) 465-5170

National Provider Directory

National Provider Directory
Tax ID family
Swanson Dental Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1212 Willis Ave
Perry, IA 50220
Phone (515) 465-5170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1376791061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201632",
            "telephone_number": "515-465-5170",
            "fax_number": "515-465-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201632",
            "telephone_number": "515-465-5170",
            "fax_number": "515-465-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-465-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.