Birth Stewart Oral Surgery Arlington PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17519 Issued in TX

Legal business name

BIRTH STEWART ORAL SURGERY ARLINGTON PLLC

Practice address

2011 W Bardin Rd
Arlington, TX 76017-1654

Phone

(817) 557-0025

Fax

(817) 557-1916

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stewart, DDS

Title

Orthodontist

Phone

(817) 557-0025

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1053743591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W BARDIN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171654",
            "telephone_number": "817-557-0025",
            "fax_number": "817-557-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W BARDIN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171654",
            "telephone_number": "817-557-0025",
            "fax_number": "817-557-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH STEWART ORAL SURGERY ARLINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "817-557-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "17519",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bir JV LLP
• Bir JV LLP
• Amber K. Bird
• Suman Bireddy, M.D.
• Birth and Wellness Center, LLC
• Amy Cagnolatti Bishop, AU.D.
• Bryan Wilson Bishop, DDS
• Fred L Bishop, MD
• Mary Bishop, RD, LD
• Reyna Marie Bishop

• All providers in Arlington, TX
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.