Organization Active NPI

Family Smiles

Doing business as James C. Swanson, PC D. D. S., PC

  • General Practice Dentistry
  • Pueblo, CO
National Provider Identifier
1982899712
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3700 Issued in CO
Legal business name
FAMILY SMILES
Doing business as
James C. Swanson, PC D. D. S., PC
Practice address
1001 S Pueblo Blvd
Pueblo, CO 81005-1682
Phone
(719) 564-0990
Fax
(719) 564-6817
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. James Charles Swanson, DDSNPI 1295733145
Title
Owner
Phone
(719) 564-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3700 CO Primary

Addresses

Primary practice location

1001 S Pueblo Blvd
Pueblo, CO 81005-1682

Mailing address

1001 S Pueblo Blvd
Pueblo, CO 81005-1682
Phone (719) 564-0990

Other identifiers 3

IdentifierTypeStateIssuer
01734237OtherCOJENNIFER KATTENSTELTE
02073807OtherCOJAMIE JOHNSON
81971842MedicaidCO

Other names 1

  • James C. Swanson, PC D. D. S., PC Doing business as

National Provider Directory

National Provider Directory

Locations

1001 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 564-0990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1982899712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051682",
            "telephone_number": "719-564-0990",
            "fax_number": "719-564-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051682",
            "telephone_number": "719-564-0990",
            "fax_number": "719-564-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-564-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JENNIFER KATTENSTELTE",
            "identifier": "01734237",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMIE JOHNSON",
            "identifier": "02073807",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81971842",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James C. Swanson, PC D. D. S., PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.