Lisa Susan Swanson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22855 Issued in OH

Practice address

54 Westerview Dr
Westerville, OH 43081-2682

Phone

(614) 794-3629

Fax

(614) 794-3672

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merrill Swanson DDS LLC

  dba Lexington Dental Partners

  • General Practice Dentistry
  • Lexington, OH
  • NPI 1760639769
  NPD (past) Authorized official
• Zachary N. Stefan, DMD, LLC

  • Dental Clinic/Center
  • Westerville, OH
  • NPI 1124742119
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1710142567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W MAIN ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049543",
            "telephone_number": "419-884-3411",
            "fax_number": "419-884-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WESTERVIEW DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812682",
            "telephone_number": "614-794-3629",
            "fax_number": "614-794-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LISA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "22855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Richard Sutton, MS, AT
• Lindsey B Swad, BA
• Rita Swallow, RBT
• Jennifer Christine Swan, D.P.M.
• Kylah Lashel Swanson, DPT
• Tacuma Swanson
• Delia S Swaray
• Julia Swaro
• Nyein Chan Swe, MD
• Melissa Sue Swedersky, OTR/L

• General Practice Dentistry in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.