Organization Active NPI

Tom D Swanson DDS, Inc

  • Pediatric Dentistry
  • Portsmouth, RI
National Provider Identifier
1467579003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1956 Issued in RI
Legal business name
TOM D SWANSON DDS, INC
Practice address
1985 E Main Rd
Portsmouth, RI 02871-1225
Phone
(401) 683-0112
Fax
(401) 683-2171
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tom Duane Swanson, D.D.S.NPI 1487839130
Title
President
Phone
(401) 683-0112

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 1956 RI Primary

Addresses

Primary practice location

1985 E Main Rd
Portsmouth, RI 02871-1225

Mailing address

PO Box 382
Portsmouth, RI 02871-1225
Phone (401) 683-0112

Other identifiers 1

IdentifierTypeStateIssuer
TS00046MedicaidRI

National Provider Directory

National Provider Directory

Locations

1985 E Main Rd
Portsmouth, RI 02871
Phone (401) 683-0112

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467579003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711225",
            "telephone_number": "401-683-0112",
            "fax_number": "401-683-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711225",
            "telephone_number": "401-683-0112",
            "fax_number": "401-683-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM D SWANSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-683-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TS00046",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.