Kimberly Ann Swanson, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

1009 Issued in CA

Practice address

74710 Highway 111 Ste 102
Palm Desert, CA 92260-3820

Phone

(714) 319-5284

NPI assigned

Mar 4, 2024

Last updated

Mar 8, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Swanson Rdhap, P.C.

  dba Smiles for Life, A Dental Hygiene Practice of Kimberly Swanson RDHAP

  • Advanced Practice Dental Therapist
  • Palm Desert, CA
  • NPI 1164280715
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1972360212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74710 HIGHWAY 111 STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603820",
            "telephone_number": "714-319-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74710 HIGHWAY 111 STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603820",
            "telephone_number": "714-319-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RDHAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kellie Suwara, FNP
• Suzanne M. Quardt MD
• Jordan Ann Svadlenak, RN
• Gabrielle Siena Svoboda
• Ashley Swain
• Synergy Orthopedic Specialists, Inc.
• Randall Wayne Szutz, DDS
• Taby Corp. (Desert Infusion Center)
• Tae Acupuncture Corp (Tae Oriental Medicine)
• Kimberly Ann Tahernia

• Advanced Practice Dental Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.