Mark R. Stewart, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3093 Issued in AR

Practice address

1316 W Collin Raye Dr
Suite a
De Queen, AR 71832-2135

Phone

(870) 584-3221

Fax

(870) 642-6846

NPI assigned

Jun 28, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark R. Stewart, DMD, Inc.

  • General Practice Dentistry
  • De Queen, AR
  • NPI 1144346750
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063449528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W COLLIN RAYE DR",
            "address_2": "SUITE A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322135",
            "telephone_number": "870-584-3221",
            "fax_number": "870-642-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W COLLIN RAYE DR",
            "address_2": "SUITE A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322135",
            "telephone_number": "870-584-3221",
            "fax_number": "870-642-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Arkansas Counseling and Mental Health Center, Inc
• Catherine Stallard, LCSW
• Aimee Erin Stark, OTR/L
• State of Arkansas (Sevier County Health Unit)
• Tamara Lynn Stephens
• Allison Grace Strasner, COTA/L
• Superintendent of de Queen High School
• Cory Leigh Tatom, PTA
• Therapy
• Thomas E. B. Jones, M.D.

• General Practice Dentistry in De Queen, AR
• Providers in De Queen, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.