Individual provider Active NPI

Rebecca Swartz, D.M.D.

  • General Practice Dentistry
  • Venice, FL
National Provider Identifier
1497008510
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16079 Issued in FL
Practice address
1500 E Venice Ave Unit 203
Venice, FL 34292-1664
Phone
(941) 497-5451
Fax
(941) 484-8444
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16079 FL Primary

Addresses

Primary practice location

1500 E Venice Ave Unit 203
Venice, FL 34292-1664

Mailing address

1500 E Venice Ave Unit 203
Venice, FL 34292-1664
Phone (941) 497-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002107 FL Order and Referring Only - DentistPractitioner - Dentist 5890091912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16079FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1497008510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E VENICE AVE UNIT 203",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921664",
            "telephone_number": "941-497-5451",
            "fax_number": "941-484-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E VENICE AVE UNIT 203",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921664",
            "telephone_number": "941-497-5451",
            "fax_number": "941-484-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "REBECCA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.