Individual provider Active NPI

Robert Anthony Schweyen, D.D.S.

  • Dentist
  • Southgate, MI
National Provider Identifier
1972707065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901012679 Issued in MI
Practice address
13240 Eureka Rd
Southgate, MI 48195-1310
Phone
(734) 282-7880
Fax
(734) 282-9357
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901012679 MI Primary

Addresses

Primary practice location

13240 Eureka Rd
Southgate, MI 48195-1310

Mailing address

2380 19TH St
Wyandotte, MI 48192-4142
Phone (734) 283-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170116000038 MI Order and Referring Only - DentistPractitioner - Dentist 4981986593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901012679MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Schweyen DDS PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

13240 Eureka Rd
Southgate, MI 48195
Phone (734) 282-7880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972707065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 19TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924142",
            "telephone_number": "734-283-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951310",
            "telephone_number": "734-282-7880",
            "fax_number": "734-282-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEYEN",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.