David William Swanson, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

40170 Issued in MN

Practice address

1622 29TH Ave NE
Minneapolis, MN 55418-2270

Phone

(612) 718-7506

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1790979052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 29TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182270",
            "telephone_number": "612-543-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 29TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182270",
            "telephone_number": "612-718-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "40170",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "40170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530954900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Swanlund II, CRNA
• Anya Rose Swanson, RN
• Braden Swanson, DPT
• Cyarra Monique Swanson
• David C Swanson, MD
• Elizabeth Christine Swanson, D.O.
• Gloria Ann Swanson, MD
• Holly J Swanson, APRN, CNP
• Jamie Swanson, PHARMD
• Janet Mae Swanson, CNS

• Psychiatry Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.