Loren Charles Swanson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001301015 Issued in WI

Practice address

2215 Oregon St
Oshkosh, WI 54902-7060

Phone

(920) 231-8120

Fax

(920) 231-8296

NPI assigned

Feb 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Loren C. Swanson, D.D.S., S.C.

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1437285566
  NPD (past) Authorized official
• MDC Oshkosh, S.C.

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1639420094
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629104757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 OREGON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027060",
            "telephone_number": "920-231-8120",
            "fax_number": "920-231-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 OREGON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027060",
            "telephone_number": "920-231-8120",
            "fax_number": "920-231-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LOREN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001301015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33614900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Stutzriem, MSPT, CSCS
• Govindaraju Subramani, MD
• Lauren T Sullivan, NP
• Supportive Learning Care 2
• Lars V Swanson, MD
• Renae D. Swanson, PH.D., LPC, NCC
• Sweet Dreams Anesthesia Services, LLC
• Donald Sweet, SACIT
• Laura Swenson, CRNA
• Susan M Szabo, MD

• General Practice Dentistry in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.