Eric John Swensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3229569923 Issued in UT

Practice address

7632 Campus View Dr
Suite 150
West Jordan, UT 84084-5630

Phone

(801) 282-4142

Fax

(801) 282-4246

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• West Jordan Modern Dentistry , LLP

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1508134412
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1841212065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 CAMPUS VIEW DR",
            "address_2": "SUITE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845630",
            "telephone_number": "801-282-4142",
            "fax_number": "801-282-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 CAMPUS VIEW DR",
            "address_2": "SUITE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845630",
            "telephone_number": "801-282-4142",
            "fax_number": "801-282-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSEN",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "3229569923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Sutt, PHARMD
• Taylor S Suval, DC
• Dezmond Thorley Swain, PMHNP-BC
• Ava Swasey
• Clayton Thomas Swensen
• Ryan Dean Swensen, PHARM.D
• Andrew Swenson, DO
• Samantha Tallman
• Casey McKay Tanner
• Jordyn Tanner

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.