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DANE THOMAS SWENSON
NPI 1154797504
Dentist - Periodontics in Las Vegas, NV

Active since August 19, 2015Opted out of Medicare · through May 1, 2028
1825 VILLAGE CENTER CIR STE 150, LAS VEGAS, NV 89134(702) 660-0024 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dane Thomas Swenson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANE THOMAS SWENSON (NPI 1154797504) is an individual periodontics provider in Las Vegas, Nevada, licensed in Nevada (S4-122C) and active in the NPI registry since August 2015. He has opted out of Medicare through May 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154797504
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDANE THOMAS SWENSON
Location Address1825 VILLAGE CENTER CIR STE 150Las Vegas, NV 89134-0575
Mailing Address1825 Village Center Cir Ste 150Las Vegas, NV 89134-0575 · (702) 660-0024
Phone(702) 660-0024
Sole ProprietorNo
Enumeration DateAugust 19, 2015
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1154797504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in NV · S4-122C✔ Licensed in UT · 9410763-9921
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 9410763-9921 (UT)
1825 VILLAGE CENTER CIR STE 150, Las Vegas, NV 89134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dane Thomas Swenson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2026 through May 1, 2028.

Opt-Out Effective DateMay 1, 2026
Opt-Out In Effect ThroughMay 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SWENSON PERIODONTICS PLLC
Dentist (Periodontics)
1825 VILLAGE CENTER CIR STE 150
LAS VEGAS, NV 89134
Clark County (702) 660-0024
DR. TAMSYN BURKETT D.M.D.
Dentist (General Practice)
1825 VILLAGE CENTER CIR STE 150
LAS VEGAS, NV 89134
Clark County (702) 562-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dane Swenson's NPI number?

The NPI number for Dane Swenson is 1154797504. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Dane Swenson located?

Dane Swenson practices at 1825 Village Center Cir Ste 150, Las Vegas, NV 89134. The listed phone number is (702) 660-0024.

What is Dane Swenson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Dane Swenson enrolled in Medicare?

No. Dane Swenson has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dane Swenson was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.