Individual provider Active NPI

Timothy David Stewart, D.M.D

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1124173893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410621 Issued in VA
Practice address
2902 Hungary Spring Rd
Richmond, VA 23228-2426
Phone
(804) 672-1400
Fax
(804) 672-0371
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410621 VA Primary

Addresses

Primary practice location

2902 Hungary Spring Rd
Richmond, VA 23228-2426

Mailing address

2902 Hungary Spring Rd
Richmond, VA 23228-2426
Phone (804) 672-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 26, 2016 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401410621VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Stewart DDS General Practice PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124173893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 HUNGARY SPRING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282426",
            "telephone_number": "804-672-1400",
            "fax_number": "804-672-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 HUNGARY SPRING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282426",
            "telephone_number": "804-672-1400",
            "fax_number": "804-672-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.