Active NPI
Swenson Foot & Ankle, P.C.
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
National Provider Identifier
1639575046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2000
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5380 S Rainbow Blvd
Ste 318
Las Vegas, NV 89118
Phone (702) 362-8886
Interoperability endpoints
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1750661294
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.