Active NPI
Sandra L Swing, D.D.S.
- General Practice Dentistry
- Marinette, WI
National Provider Identifier
1871591685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7206
- Practice address
- 2324 Roosevelt Rd.
Marinette, WI 54143 - Phone
- (715) 504-0419
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6830-15 | WI | |
| General Practice Dentistry | 1223G0001X | 6830-25 | WI | |
| General Practice Dentistry | 1223G0001X | 7206 | CO | Primary |
Addresses
Primary practice location
2324 Roosevelt Rd.
Marinette, WI 54143
Mailing address
2324 Roosevelt Rd.
Marinette, WI 54143
Phone (719) 651-4731
Other practice location 1
2110 Southgate Rd
Suite 200
Colorado Springs, CO 80906-2685
Phone (719) 635-5705
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6830-25 | WI | MD | General Practice Dentistry |
| 7206 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures & Implants - Colorado Springs III, P.C. | General Practice | Past | Accepting new patients |
| Affordable Dentures & Implants - Colorado Springs II, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1710709217
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1427849157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1871591685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 ROOSEVELT RD.",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "719-651-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 ROOSEVELT RD.",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "715-504-0419"
}
],
"practiceLocations": [
{
"address_1": "2110 Southgate Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809062685",
"country_code": "US",
"telephone_number": "719-635-5705",
"fax_number": "719-632-4081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWING",
"first_name": "SANDRA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2021-05-12",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6830-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6830-25",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.