SWK PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SWK PC

Practice address

311 Lennon LN
Walnut Creek, CA 94598-2418

Phone

(925) 938-7900

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Sae Won KimNPI 1528603909

Title

Owner

Phone

(925) 938-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sae Won Kim, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1528603909
  NPD Authorized official
• Shannon Haynes, DDS, INC.

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1346283843
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1407530355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982418",
            "telephone_number": "925-938-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982418",
            "telephone_number": "925-938-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAE WON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-938-7900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward H. Sweet, MD
• Ameena Sweeting, BCBA
• Lucas Swiber
• Audrey Marie Swift
• Christian Swinney
• Michael Sychrava, DMD
• Carol Lynn Symmons
• Alexander Fritz Szilagyi, CRNA
• Quang Dang Ta, PHARM.D.
• Radley Deric Tablada

• Dental Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.