Individual provider Active NPI

John Christopher Swearingen, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
National Provider Identifier
1376962613
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10441 Issued in TN
Practice address
780 Ridge Lake Blvd Ste 101
Memphis, TN 38120
Phone
(901) 682-8431
Fax
(901) 682-2345
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10441 TN Primary

Addresses

Primary practice location

780 Ridge Lake Blvd Ste 101
Memphis, TN 38120

Mailing address

780 Ridge Lake Blvd Ste 101
Memphis, TN 38120-9426
Phone (901) 682-8431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190617003234 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739412172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10441TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff City Oral Surgery & Associates, LLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

780 Ridge Lake Blvd
Ste 101
Memphis, TN 38120
Phone (901) 682-8431

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1376962613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209426",
            "telephone_number": "901-682-8431",
            "fax_number": "901-682-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-682-8431",
            "fax_number": "901-682-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "10441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.