Active NPI
John Christopher Swearingen, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Memphis, TN
National Provider Identifier
1376962613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617003234 | TN | Order and Referring Only - Oral Surgery | 9739412172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10441 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluff City Oral Surgery & Associates, LLC | Current | 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.
-
- Dental Clinic/Center
- Memphis, TN
- NPI 1902569601
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.