Wayne Etnyre Svoboda, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006634 Issued in WA

Practice address

32105 1St Ave S
# B3
Federal Way, WA 98003

Phone

(253) 838-2560

Fax

(253) 838-2561

NPI assigned

Oct 11, 2006

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 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487742433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32105 1ST AVE S",
            "address_2": "# B3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-838-2560",
            "fax_number": "253-838-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32105 1ST AVE S",
            "address_2": "# B3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-838-2560",
            "fax_number": "253-838-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "WAYNE",
        "middle_name": "ETNYRE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5020227",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS ID",
            "identifier": "601630258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Suthers
• Alex Sutton, D.D.S.
• Joseph A Sutton, PA-C
• Mary Jo Suver I, PTA
• Kevin Ray Suzuki, D.M.D.
• Zoey Swager, LMP
• Scott R Swaim, LMHC
• Sheri Lynn Swan, LMP
• Frans G. Swart, MD
• Amy Elizabeth Swartz, DC

• Dentist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.