Individual provider Active NPI

Donald Wayne Swearingen, D.D.S.

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1649272220
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4797 Issued in OK
Practice address
11318 N May Ave Ste B
Oklahoma City, OK 73120-5843
Phone
(405) 751-8092
Fax
(405) 751-8658
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4797 OK Primary

Addresses

Primary practice location

11318 N May Ave Ste B
Oklahoma City, OK 73120-5843

Mailing address

1704 Olde Towne Rd
Edmond, OK 73034-4944
Phone (405) 330-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000720 OK Order and Referring Only - DentistPractitioner - Dentist 4284923509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1649272220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 OLDE TOWNE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344944",
            "telephone_number": "405-330-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11318 N MAY AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205843",
            "telephone_number": "405-751-8092",
            "fax_number": "405-751-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.