Individual provider Active NPI

Summer Glyn Swindle, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1568925477
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7127 Issued in LA
Practice address
4304 S Claiborne Ave
New Orleans, LA 70125-5104
Phone
(504) 510-3133
NPI assigned
Apr 8, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7127 LA Primary

Addresses

Primary practice location

4304 S Claiborne Ave
New Orleans, LA 70125-5104

Mailing address

1001 6TH St
New Orleans, LA 70115-2240
Phone (573) 724-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190830002422 LA Order and Referring Only - DentistPractitioner - Dentist 9133458037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7127LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1568925477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 6TH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152240",
            "telephone_number": "573-724-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 S CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701255104",
            "telephone_number": "504-510-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINDLE",
        "first_name": "SUMMER",
        "middle_name": "GLYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.