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DAVID C SWIDERSKI DDS, MD
NPI 1356320576
Oral & Maxillofacial Surgery in Salem, OR

Active since January 16, 2006Opted out of Medicare · through May 31, 2027
1565 LIBERTY ST SE, SALEM, OR 97302(503) 581-0223 Get Directions Write a Review

NPPES record last updated: April 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David C Swiderski Dds, Md NPPES

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

DAVID C SWIDERSKI DDS, MD (NPI 1356320576) is an individual oral & maxillofacial surgery provider in Salem, Oregon, licensed in Minnesota (50992) and active in the NPI registry since January 2006. He has opted out of Medicare through May 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356320576
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDAVID C SWIDERSKICredential: DDS, MD
Location Address1565 LIBERTY ST SESalem, OR 97302-4345
Mailing Address1565 Liberty St SeSalem, OR 97302-4345 · (503) 581-0223
Phone(503) 581-0223
Sole ProprietorYes
Enumeration DateJanuary 16, 2006
Last NPPES UpdateApril 18, 2009
✔ NPI 1356320576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in MN · 50992✔ Licensed in OR · MD29162
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 11819 (MN), D9087 (OR)
1565 LIBERTY ST SE, Salem, OR 97302
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Other Identifiers 5

Medicare ID-Type Unspecified190000743MN
OtherP00052037MN · Medicare, Railroad
Medicare PIN850000103MN
Medicaid729449200MN
Medicare UPINU96525

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David C Swiderski Dds, Md 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 31, 2025 through May 31, 2027.

Opt-Out Effective DateMay 31, 2025
Opt-Out In Effect ThroughMay 31, 2027Opt-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.

Other Providers at the Same Location NPPES 3

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

GARY T. PEDERSON
Dentist (Oral and Maxillofacial Surgery)
1565 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 581-0223
MID-VALLEY ORAL, MAXILLOFACIAL & IMPLANT SURGERY
Clinic/Center (Oral and Maxillofacial Surgery)
1565 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 581-0223
GARY THEODORE PEDERSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1565 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 581-0223

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 David Swiderski's NPI number?

The NPI number for David Swiderski is 1356320576. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is David Swiderski located?

David Swiderski practices at 1565 Liberty St SE, Salem, OR 97302. The listed phone number is (503) 581-0223.

What is David Swiderski's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is David Swiderski enrolled in Medicare?

No. David Swiderski has opted out of Medicare through May 31, 2027. 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 David Swiderski was last updated on April 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.