Emily Svetanoff, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013295A Issued in IN

Practice address

4400 N Calumet Ave Ste 300
Valparaiso, IN 46383-1606

Phone

(219) 510-2490

NPI assigned

May 29, 2019

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1902464613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FORDWICK LN",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831443",
            "telephone_number": "219-510-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N CALUMET AVE STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831606",
            "telephone_number": "219-510-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVETANOFF",
        "first_name": "EMILY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032099",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013295A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Sullivan, MS, LMFT
• Mark Sundh, PHARMD
• Karen J Suppes, LMHC
• Erin Colleen Sutherland
• Jason Orrin Sutherland
• Jessica Leigh Swearingen, DO
• Fahd Abdullah Kader Syed, M.D., M.P.H.
• Alissa Lynn Sykora, LCSW, CCM
• Synergy Chiropractic and Functional Neurology Center
• Samantha Syvertsen, RN

• General Practice Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.