Richard C Swanson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN0010985 Issued in FL

Practice address

1815 South East US Hwy 19
Crystal River, FL 34423

Phone

(352) 795-1223

Fax

(352) 795-1637

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 21, 2016 through Dec 21, 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.

• Richard C Swanson,DMD PA

  • Dental Clinic/Center
  • Crystal River, FL
  • NPI 1073844296
  NPD (past) Authorized official
• Modern Family Dentistry

  • Dentist
  • Crystal River, FL
  • NPI 1427747880
  NPD (past)
• West Coast Dental Partners

  • General Practice Dentistry
  • Crystal River, FL
  • NPI 1922971282
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609904549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230068",
            "telephone_number": "352-795-1223",
            "fax_number": "352-795-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SOUTH EAST US HWY 19",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34423",
            "telephone_number": "352-795-1223",
            "fax_number": "352-795-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Gardens/ Crystal River LLC
• Superior Diagnostic Studies
• Superior Therapy Services Inc
• Gary Wayne Suresch
• Susana T. Donaire, MD, PA
• Deirdre E Sweeney, NP
• Gregory Alexander Sylvia, PA
• Maria Theresa Symons
• Thomas R Syverson, MD
• Juanito Corrales Taboada, M.D.

• Dentist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Dentist in Florida

• 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.
• 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.