Individual provider Active NPI

Bethany Stewart, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1023319357
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855364 Issued in MA
Practice address
5959 Royal LN
Suite# 634-214
Dallas, TX 75230-3856
Phone
(214) 368-4100
Fax
(214) 368-4102
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855364 MA Primary

Addresses

Primary practice location

5959 Royal LN
Suite# 634-214
Dallas, TX 75230-3856

Mailing address

5959 Royal LN
Suite# 634-214
Dallas, TX 75230-3856
Phone (214) 368-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1855364MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1023319357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 ROYAL LN",
            "address_2": "SUITE# 634-214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303856",
            "telephone_number": "214-368-4100",
            "fax_number": "214-368-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 ROYAL LN",
            "address_2": "SUITE# 634-214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303856",
            "telephone_number": "214-368-4100",
            "fax_number": "214-368-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BETHANY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.