Individual provider Active NPI

Jason J Swartz, DMD

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1508140724
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15877 Issued in FL
Practice address
2477 Stickney Point Rd
100A
Sarasota, FL 34231-4076
Phone
(941) 924-7571
Fax
(941) 922-6815
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 DN15877 FL Primary

Addresses

Primary practice location

2477 Stickney Point Rd
100A
Sarasota, FL 34231-4076

Mailing address

2477 Stickney Point Rd
100A
Sarasota, FL 34231-4076
Phone (941) 924-7571

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
I20161209000257 FL Order and Referring Only - DentistPractitioner - Dentist 5193005106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dentistry of Sarasota, PLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1508140724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "100A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-924-7571",
            "fax_number": "941-922-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "100A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-924-7571",
            "fax_number": "941-922-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.