Active NPI
Kenneth W Stewart, D.M.D.
- General Practice Dentistry
- Sparks, NV
National Provider Identifier
1124054077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2110
- Practice address
- 2351 Pyramid Way
Suite 22
Sparks, NV 89431-8703 - Phone
- (775) 359-5072
- Fax
- (775) 359-6134
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2110 | NV | Primary |
Addresses
Primary practice location
2351 Pyramid Way
Suite 22
Sparks, NV 89431-8703
Mailing address
2351 Pyramid Way
22
Sparks, NV 89431-8703
Phone (775) 359-5072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124054077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 PYRAMID WAY",
"address_2": "22",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318703",
"telephone_number": "775-359-5072",
"fax_number": "775-359-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 PYRAMID WAY",
"address_2": "SUITE 22",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318703",
"telephone_number": "775-359-5072",
"fax_number": "775-359-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "2110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.