SWIFT, ELROD AND GREEN DDS (NPI# 1053662965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662965 |
| Entity Type | Organization |
| Organization Name | SWIFT, ELROD AND GREEN DDS |
| Practice Address |
800 1st Ave Sw Austin MN 55912-2507 |
| Practice Telephone | 5074378208 |
| Mailing Telephone | 5074378208 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | DR. PETER B. GREEN (PRESIDENT) |
| Authorized Official Telephone | 5074378208 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D-9111 | MN | Ambulatory Health Care Facilities |
| Street Address |
800 1ST AVE SW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712321 | Drs Elrod Green Dds Pa | Dentist | 800 1st Ave Sw, Austin, MN 55912 | 2007-05-22 |
| 1609487016 | Lauren Michelle Whitehurst | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-08-11 |
| 1750990206 | Kathryn Lea | Dental Therapist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-07-29 |
| 1710596598 | Alexander Nguyen | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-07-28 |
| 1982153136 | Heimer Dental, Pllc | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2016-09-29 |
| 1881968477 | Sleep Enhancement Center LLC | Durable Medical Equipment & Medical Supplies | 800 1st Ave Sw, Suite 111, Austin, MN 55912-2507 | 2012-02-29 |
| 1023246592 | David A Elrod | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-06-23 |
| 1619105194 | Peter B Green | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-06-23 |
| 1205061793 | Kara Lea Heimer | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1407473101 | Kamel Elhosary | Clinic/Center | 1221 W Ben White Blvd Ste 212a, Austin, TX 78704-7002 | 2020-06-29 |
| 1811524861 | Regina Yunusov Dds, Pllc | Clinic/Center | 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 | 2020-03-26 |
| 1407496474 | Kathryn James Ventures | Clinic/Center | 12335 Hymeadow Dr Ste 200, Austin, TX 78750-1935 | 2020-01-08 |
| 1508406513 | Valencia Smiles Pllc | Clinic/Center | 911 W Anderson Ln Ste 115, Austin, TX 78757-1562 | 2020-01-08 |
| 1720625106 | Joowon Cho Dds Pllc | Clinic/Center | 10700 Anderson Mill Rd Ste 300, Austin, TX 78750-2402 | 2019-12-05 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1063065472 | Ws Dental | Clinic/Center | 6801 S Ih 35 Ste 1-d, Austin, TX 78744-4824 | 2019-07-24 |
| 1649823253 | Rayne Sleep Solutions LLC | Clinic/Center | 1221 W Ben White Blvd Ste 112a, Austin, TX 78704-6888 | 2019-07-23 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.