Swva Dental Specialists

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SWVA DENTAL SPECIALISTS

Practice address

4102 Electric Rd
Roanoke, VA 24018-0614

Phone

(540) 588-7312

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Kara Trail

Title

Director of Operation

Phone

(540) 588-7312

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Elizabeth Bagby, D.D.S.

  • Endodontics
  • Roanoke, VA
  • NPI 1184870065
  NPD (past)
• Michael Joseph Mayerchak, DMD

  • Endodontics
  • Roanoke, VA
  • NPI 1144315649
  NPD (past)
• Edward Michael O'Keefe, D.D.S

  • Endodontics
  • Roanoke, VA
  • NPI 1952557100
  NPD (past)
• Joshua Michal Kucharski, DMD

  • Endodontics
  • La Crosse, WI
  • NPI 1881972974
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1881353993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 BRANDON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181203",
            "telephone_number": "540-772-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180614",
            "telephone_number": "540-588-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWVA DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "540-588-7312"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Swire, CRNA
• Sydney Marie Switzer, LCSW
• John D Swope, DDS
• Faith N Sword, OTR/L
• SWS Counseling Services LLC
• Alice Elizabeth Sydnor, PH.D.
• Amin Syed
• Lauren R. Sylvain, PT, DPT
• Gustaf Anders Sylvester-Johnson, FNP-BC
• Stephanie Diann Sylvester-Johnson, RN, PMHNP-BC

• Endodontics in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.