Joetta Stewart

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03267 Issued in RI

Practice address

142A Danielson Pike
Foster, RI 02825-1485

Phone

(401) 647-3702

Fax

(401) 647-5380

NPI assigned

Aug 11, 2014

Last updated

May 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1053720458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028590312",
            "telephone_number": "401-567-0800",
            "fax_number": "401-567-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A DANIELSON PIKE",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251485",
            "telephone_number": "401-647-3702",
            "fax_number": "401-647-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11260",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potterville Fire Department Inc
• Pugliese Natural Medicine PLLC
• Nancy Ann Puth, D.C.
• Rising Hope Counseling Services, LLC
• South Foster Fire Department No 1
• The Foster Ambulance Corps
• Chantel Worthing
• Edmond Stanley Zuromski, PH.D.

• General Practice Dentistry in Foster, RI
• Providers in Foster, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.