Active NPI
William P Swetlik, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shawano, WI
National Provider Identifier
1578656104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5001358-015
- Practice address
- 115 Alpine CT
Shawano, WI 54166 - Phone
- (715) 526-2544
- Fax
- (715) 526-2547
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5001358-015 | WI | Primary |
Addresses
Primary practice location
115 Alpine CT
Shawano, WI 54166
Mailing address
115 Alpine CT
Shawano, WI 54166
Phone (715) 526-2544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001358-015 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shawano, WI
- NPI 1447671144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578656104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ALPINE CT",
"city": "SHAWANO",
"state": "WI",
"postal_code": "54166",
"telephone_number": "715-526-2544",
"fax_number": "715-526-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ALPINE CT",
"city": "SHAWANO",
"state": "WI",
"postal_code": "54166",
"telephone_number": "715-526-2544",
"fax_number": "715-526-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWETLIK",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "5001358-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawano, WI
- Rebecca Marie Stevens, DDS
- Strive Behavioral Solutions, LLC (Strive Behavioral Solutions)
- Amy Stuber, D.C.
- Gene Anthony Stuber
- Sweetgrass Behavioral Health
- Synergy Counseling Services, Inc
- Gregory Thatcher, MD
- Patricia Ann Thatcher, P.T.
- Thedacare Medical Center - Shawano, Inc.
- Thedacare Medical Center - Shawano, Inc. (ThedaCare Apothecary-Shawano)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.