Active NPI
Kirtland Dana Swan, M.D.
- Primary Care Clinic/Center
- Lafayette, LA
National Provider Identifier
1609967900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- LA 013847
- Practice address
- 113 Saint Thomas St Ste a
Lafayette, LA 70506-4575 - Phone
- (337) 235-7561
- Fax
- (337) 237-8666
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | LA 013847 | LA | Primary |
Addresses
Primary practice location
113 Saint Thomas St Ste a
Lafayette, LA 70506-4575
Mailing address
113 Saint Thomas St Ste a
Lafayette, LA 70506-4575
Phone (337) 235-7561
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA 013847 | LA | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609967900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SAINT THOMAS ST STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064575",
"telephone_number": "337-235-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 SAINT THOMAS ST STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064575",
"telephone_number": "337-235-7561",
"fax_number": "337-237-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "KIRTLAND",
"middle_name": "DANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "LA",
"license": "LA 013847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
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.