Individual provider Active NPI

John C Swearingen

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1881725513
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28496 Issued in CA
Practice address
1600 Colorado Ave BLDG 3
Turlock, CA 95382-2713
Phone
(209) 667-0115
Fax
(209) 667-2323
NPI assigned
Mar 7, 2007
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28496 CA Primary

Addresses

Primary practice location

1600 Colorado Ave BLDG 3
Turlock, CA 95382-2713

Mailing address

1600 Colorado Ave BLDG 3
Turlock, CA 95382-2713
Phone (209) 667-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603002361 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517288491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28496CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1881725513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COLORADO AVE BLDG 3",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822713",
            "telephone_number": "209-667-0115",
            "fax_number": "209-667-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COLORADO AVE BLDG 3",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822713",
            "telephone_number": "209-667-0115",
            "fax_number": "209-667-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "JOHN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.