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1578717864 NPI number — STEVEN JAMES SWENSON DDS, MS

NPI Number: 1578717864
Health Care Provider/Practitioner: STEVEN JAMES SWENSON DDS, MS

Information about “1578717864” NPI (STEVEN JAMES SWENSON DDS, MS) exists in 1578717864 in HTML format HTML  |  1578717864 in plain Text format TXT  |  1578717864 in PDF (Portable Document Format) PDF  |  1578717864 in an XML format XML  formats.

NPI Number : 1578717864 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578717864",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWENSON",
    "FirstName": "STEVEN",
    "MiddleName": "JAMES",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4801 N 15TH ST APT 108",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68521-5609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-525-1836",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "408 W 39TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEARNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68845-2806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-525-1836",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/12/2008",
    "LastUpdateDate": "08/24/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": "6670",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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