Katherine F Stewart, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1075 Featherstone Rd Ste 30
Rockford, IL 61107-5906

Phone

(815) 395-1711

Fax

(815) 395-1705

NPI assigned

Apr 4, 2007

Sex

Female

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 IL

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 and National Provider Directory roles.

• Julia R. Pesavento, D.M.D.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1083868806
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104948918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 FEATHERSTONE RD STE 30",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075906",
            "telephone_number": "815-395-1711",
            "fax_number": "815-395-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FEATHERSTONE RD STE 30",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075906",
            "telephone_number": "815-395-1711",
            "fax_number": "815-395-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KATHERINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadwick Stevens
• George Harry Stevens, M.A., CCC-SLP
• Tracy A Stevens
• Susan C Stevenson, MS, ATC/L
• Gregory Raymond Stewart, D.M.D
• Krystal L Stewart, LPC
• Dylan Stichter
• Thomas J Stieglitz, M.D.
• Jessica Stier, M.D.
• Bruce L Stiles, MD

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.