Bryan Michael Swanson, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE.60850784 Issued in WA

Practice address

2910 S Meridian Ste 120
Puyallup, WA 98373

Phone

(253) 445-0022

Fax

(253) 445-0979

NPI assigned

Apr 27, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 17, 2020 through Sep 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Guillermo E Chacon, DDS, PS

  dba Oral & Facial Surgery Centers of Washington

  • Oral and Maxillofacial Surgery (Dentist)
  • Puyallup, WA
  • NPI 1942820626
  NPD (past)

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1518301951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S MERIDIAN STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731585",
            "telephone_number": "253-445-0022",
            "fax_number": "253-445-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S MERIDIAN STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-445-0022",
            "fax_number": "253-445-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061106",
            "country_code": "US",
            "telephone_number": "407-839-8407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 N Wayte Ln",
            "address_2": "Oral and Maxillofacial Surgery",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012124",
            "country_code": "US",
            "telephone_number": "559-459-6927",
            "fax_number": "559-459-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 S Meridian Ste 120",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983731585",
            "country_code": "US",
            "telephone_number": "253-445-0022",
            "fax_number": "253-445-0979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061106",
            "country_code": "US",
            "telephone_number": "407-839-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "62966",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DRP1676",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE.60850784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Sutter, M.S., CCC-SLP
• Bethany Alice Marie Sutton, LMFT
• Saly Suy
• Laurie Swan, PHD, DPT, PT
• Stacy Swanson-Cramer
• David Swanson, COTA/L
• Steven Swanson
• Christopher Michael Swason
• Donnamarie None Sweet, MS
• Sandra Mae Swenby, MD

• Oral and Maxillofacial Surgery (Dentist) in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.