Organization Active NPI

Swenson Foot & Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1639575046
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2000 Issued in NV
Legal business name
SWENSON FOOT & ANKLE, P.C.
Doing business as
Swenson Foot & Ankle
Practice address
5380 S Rainbow Blvd
Ste 318
Las Vegas, NV 89118-1877
Phone
(702) 873-3556
Fax
(702) 871-4190
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Grant Swenson, D.P.M.NPI 1750661294
Title
President
Phone
(702) 873-3556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2000 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd
Ste 318
Las Vegas, NV 89118-1877

Mailing address

5380 S Rainbow Blvd
Ste 318
Las Vegas, NV 89118-1877
Phone (702) 873-3556

Other names 1

  • Swenson Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150123001186 NV Part B Supplier - Clinic/Group Practice 9436473386 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5380 S Rainbow Blvd
Ste 318
Las Vegas, NV 89118
Phone (702) 362-8886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10829/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1639575046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "702-873-3556",
            "fax_number": "702-871-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "702-873-3556",
            "fax_number": "702-871-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWENSON FOOT & ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-873-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swenson Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.