Active NPI
Brent A Swenson, DDS
- General Practice Dentistry
- Pierre, SD
National Provider Identifier
1962596098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D0404
- Practice address
- 433 S Central Ave
Pierre, SD 57501 - Phone
- (605) 224-5966
- Fax
- (605) 224-7038
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D0404 | SD | Primary |
Addresses
Primary practice location
433 S Central Ave
Pierre, SD 57501
Mailing address
433 S Central Ave
Pierre, SD 57501
Phone (605) 224-5966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 6, 2015 through May 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erick Rath DDS PHD PC | Past | Accepting new patients | |
| Patrick R Hermanson DDS PC | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Pierre, SD
- NPI 1326295361
-
- Dentist
- Pierre, SD
- NPI 1861545626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962596098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 S CENTRAL AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 S CENTRAL AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5966",
"fax_number": "605-224-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "BRENT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "D0404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.