Active NPI
Ryan Charles Swigert, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Bullhead City, AZ
National Provider Identifier
1487974408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D008956
- Practice address
- 1467 Palma Rd Ste 1
Bullhead City, AZ 86442-6785 - Phone
- (928) 763-1203
- Fax
- (928) 758-1072
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 | D008956 | AZ | Primary |
Addresses
Primary practice location
1467 Palma Rd Ste 1
Bullhead City, AZ 86442-6785
Mailing address
1467 Palma Rd Ste 1
Bullhead City, AZ 86442-6785
Phone (928) 763-1203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1487974408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 PALMA RD STE 1",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426785",
"telephone_number": "928-763-1203",
"fax_number": "928-758-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 PALMA RD STE 1",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426785",
"telephone_number": "928-763-1203",
"fax_number": "928-758-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIGERT",
"first_name": "RYAN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "D008956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.