Swan Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23417 Issued in TX

Legal business name

SWAN DENTAL PLLC

Practice address

10581 S Highway 6
Suite 105
Sugar Land, TX 77498-4906

Phone

(832) 243-4169

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnny NguyenNPI 1467642348

Title

Part Owner

Phone

(832) 620-5630

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eduardo Campos Rodriguez, D.D.S.

  • Dentist
  • Sugar Land, TX
  • NPI 1780876771
  Medicare reassignment NPD
• Johnny Kim Nguyen, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1467642348
  NPD (past) Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1841740602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 MARQUETTE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10581 S HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984906",
            "telephone_number": "832-243-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "832-620-5630"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23417",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23443",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgihealth Inc
• Susan Mathew MD PLLC
• Cindy Sutton
• Svas Medical Group Wholesale Dist LLC (Generations Medical Supply)
• SVM Quality Healthcare Inc
• Chloe Swan
• Kylee Swan
• Susanna Chree Swannegan
• Swarna Balasubramaniam MD (Sugar Land Colon and Rectal Clinic)
• Tammy Sweed, MLDT-CLT

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.