Active NPI
Stewart Pediatric Orthopedic of Nevada, PLLC.
- Pediatric Orthopaedic Surgery Physician
- North Las Vegas, NV
National Provider Identifier
1144976473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- Legal business name
- STEWART PEDIATRIC ORTHOPEDIC OF NEVADA, PLLC.
- Practice address
- 6462 Losee Rd Unit 900
North Las Vegas, NV 89086-0103 - Phone
- (702) 701-2490
- NPI assigned
- Feb 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Grant Stewart Jr., MD
- Title
- Owner
- Phone
- (707) 575-0155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | Primary |
Addresses
Primary practice location
6462 Losee Rd Unit 900
North Las Vegas, NV 89086-0103
Mailing address
6462 Losee Rd Unit 900
North Las Vegas, NV 89086-0103
Other names 1
- Pediatric Orthopedics of Nevada
National Provider Directory
National Provider DirectoryLocations
6462 N Losee Rd
Unit 900
North Las Vegas, NV 89086
Phone (702) 701-2490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1285602896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1144976473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6462 LOSEE RD UNIT 900",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890860103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6462 LOSEE RD UNIT 900",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890860103",
"telephone_number": "702-701-2490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART PEDIATRIC ORTHOPEDIC OF NEVADA, PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "GRANT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-575-0155",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Orthopedics of Nevada",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.