Active NPI
Roland Swann Jr., DDS
- Dentist
- Washington, DC
National Provider Identifier
1659519924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10007
- Practice address
- 102 Irving St NW
Washington, DC 20010-2921 - Phone
- (301) 540-6140
- NPI assigned
- Jan 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT585 | DC | |
| Dentist | 122300000X | 10007 | MD | Primary |
Addresses
Primary practice location
102 Irving St NW
Washington, DC 20010-2921
Mailing address
20410 Century Blvd
NRH Regional Rehab - Suite 215
Germantown, MD 20874-1186
Phone (301) 540-6140
Other practice location 1
400 E Pratt St Fl 8
Baltimore, MD 21202-3180
Phone (888) 833-8441 ext. 60364
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10007 | MD | MD | Pharmacist |
| PT585 | DC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1659519924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20410 CENTURY BLVD",
"address_2": "NRH REGIONAL REHAB - SUITE 215",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741186",
"telephone_number": "301-540-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102921",
"telephone_number": "301-540-6140"
}
],
"practiceLocations": [
{
"address_1": "400 E Pratt St Fl 8",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212023180",
"country_code": "US",
"telephone_number": "888-833-8441 x60364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANN",
"first_name": "ROLAND",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-26",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT585",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "10007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.