Donald Jay Swierenga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006632 Issued in VA

Practice address

310 W Losey St
Scott AFB, IL 62225-5250

Phone

(618) 256-6267

Fax

(618) 256-7931

NPI assigned

Dec 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467430306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 LAKEVIEW LN",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697132",
            "telephone_number": "618-628-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LOSEY ST",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255250",
            "telephone_number": "618-256-6267",
            "fax_number": "618-256-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERENGA",
        "first_name": "DONALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY TREATMENT FACILI",
            "identifier": "OTH000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Stewart, RN
• Daniel S Streck, DDS
• Sunland Optical Co., Inc
• Sarah Surrey, LCSW
• Emily Ann Svezia, PHARMD
• Cathy Sue Takacs, R.D., L.D.N.
• Chauncey Denise Tarrant, M.D.
• Charles W Thie, D.D.S.
• Casey Timmerman, DO
• Cole Melsa Tomin, IDMT

• General Practice Dentistry in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.