Individual provider Active NPI

Richard D Swetman, DC

  • Chiropractor
  • Stanwood, WA
National Provider Identifier
1720059512
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1996 Issued in WA
Practice address
7207 265TH St NW
#102
Stanwood, WA 98292
Phone
(360) 629-4529
Fax
(360) 629-4520
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1996 WA Primary

Addresses

Primary practice location

7207 265TH St NW
#102
Stanwood, WA 98292

Mailing address

7207 265TH St NW
#102
Stanwood, WA 98292
Phone (360) 629-4529

Other identifiers 1

IdentifierTypeStateIssuer
2000644MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
1996WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1720059512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 265TH ST NW",
            "address_2": "#102",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "98292",
            "telephone_number": "360-629-4529",
            "fax_number": "360-629-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 265TH ST NW",
            "address_2": "#102",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "98292",
            "telephone_number": "360-629-4529",
            "fax_number": "360-629-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWETMAN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.