NPIMap

Individual provider Active NPI

Eric D Swanson, M.D.,D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Las Vegas, NV
National Provider Identifier
1780776781
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
9150 Issued in NV
Practice address
2030 E Flamingo Rd
288
Las Vegas, NV 89119-0818
Phone
(702) 892-0833
Fax
(702) 892-0906
NPI assigned
Sep 28, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9150 NV
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 9150 NV Primary

Addresses

Primary practice location

2030 E Flamingo Rd
288
Las Vegas, NV 89119-0818

Mailing address

2030 E Flamingo Rd
288
Las Vegas, NV 89119-0818
Phone (702) 892-0833

Other identifiers 1

IdentifierTypeStateIssuer
20-18240MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000384 NV Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5193869428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark L Glyman MD DDS and Eric D Swanson MD DMD LTDGroup PAC ID 9133273410, 2 clinicians

Practice addresses (Care Compare)

1775 Village Ctr Cir
Suite 150
Las Vegas, NV 89134-0571
Phone (702) 507-5555

825 N Gibson Rd
Henderson, NV 89011-1708
Phone (702) 892-0833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9150NVMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Mark L Glyman MD DDS & Eric D Swanson MD DMD LTD Oral and Maxillofacial Surgery CurrentSince Jan 10, 2000 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

825 N Gibson Rd
Ste 441
Henderson, NV 89011
Phone (702) 892-0833

1775 Village Center Cir
Ste 150
Las Vegas, NV 89134
Phone (702) 507-5555

2030 E Flamingo Rd
Ste 288
Las Vegas, NV 89119
Phone (702) 892-0833

Interoperability endpoints

  • Direct secure messaging: eswanson6288@direct.umcsn.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1780776781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E FLAMINGO RD",
            "address_2": "288",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190818",
            "telephone_number": "702-892-0833",
            "fax_number": "702-892-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E FLAMINGO RD",
            "address_2": "288",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190818",
            "telephone_number": "702-892-0833",
            "fax_number": "702-892-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "9150",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NV",
            "license": "9150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-18240",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.