Red River Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24935 Issued in TX

Legal business name

RED RIVER FAMILY DENTAL, PLLC

Practice address

1320 N Grand Ave
Unit B
Gainesville, TX 76240-2813

Phone

(702) 376-7374

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Dale Stewart, DMDNPI 1295049781

Title

Owner

Phone

(702) 376-7374

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Dale Stewart, D.M.D.

  • General Practice Dentistry
  • Denton, TX
  • NPI 1295049781
  NPD (past) Authorized official

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1063853281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ASPEN RD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402947",
            "telephone_number": "702-376-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GRAND AVE",
            "address_2": "UNIT B",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402813",
            "telephone_number": "702-376-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-376-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295049781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bowles NP PLLC
• Anna Michele Raines, RPH,CDE
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #2557)
• Crystal Ray, LMFT
• Matthew Tom Record, DDS
• Deborah Clarke Reed, M.S. LPC
• Jeremy Rinner, FNP
• Kamran A Rizvi, M.D.
• Robert R. McLeroy, M.D. & Associates a Professional LLC
• Ashley Robertson

• General Practice Dentistry in Gainesville, TX
• Providers in Gainesville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.