Individual provider Active NPI

Gregory Swica, D.D.S.

  • General Practice Dentistry
  • Missoula, MT
National Provider Identifier
1700097607
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2108 Issued in MT
Practice address
2901 Brooks St
Sapphire Dental Group
Missoula, MT 59801-7722
Phone
(406) 541-2886
Fax
(406) 541-2889
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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 2108 MT Primary

Addresses

Primary practice location

2901 Brooks St
Sapphire Dental Group
Missoula, MT 59801-7722

Mailing address

2901 Brooks St
Sapphire Dental Group
Missoula, MT 59801-7722
Phone (406) 541-2886

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1700097607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "address_2": "SAPPHIRE DENTAL GROUP",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-541-2886",
            "fax_number": "406-541-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "address_2": "SAPPHIRE DENTAL GROUP",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-541-2886",
            "fax_number": "406-541-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWICA",
        "first_name": "GREGORY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.