Active NPI
Todd Keith Swanson, MD
- Family Medicine Physician
- Boise, ID
National Provider Identifier
1871556514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7215
- Practice address
- 370 S Haines PL
Boise, ID 83712-8360 - Phone
- (208) 424-1714
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7215 | ID | Primary |
Addresses
Primary practice location
370 S Haines PL
Boise, ID 83712-8360
Mailing address
370 S Haines PL
Boise, ID 83712-8360
Phone (208) 424-1714
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7215 | ID | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1871556514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 S HAINES PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837128360",
"telephone_number": "208-424-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 S HAINES PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837128360",
"telephone_number": "208-424-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "TODD",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M7215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.