Active NPI
Trena Kaye Stewart, D.D.S.
- Dentist
- Oklahoma City, OK
National Provider Identifier
1164466975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5057
- Practice address
- 6510 S Western Ave Ste 201
Oklahoma City, OK 73139-1712 - Phone
- (405) 629-0020
- Fax
- (405) 629-0022
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5057 | OK | Primary |
Addresses
Primary practice location
6510 S Western Ave Ste 201
Oklahoma City, OK 73139-1712
Mailing address
6510 S Western Ave Ste 201
Oklahoma City, OK 73139-1712
Phone (405) 629-0020
Other practice location 1
7300 S Western Ave
Oklahoma City, OK 73139-2001
Phone (405) 629-0020
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5057 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trena K Stewart,DDS,P.C. | Current | Accepting new patients |
Locations
6510 S Western Ave
Ste 201
Oklahoma City, OK 73139
Phone (405) 629-0020
7300 S Western Ave
Oklahoma City, OK 73139
Phone (405) 629-0020
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.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1730321407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1164466975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 S WESTERN AVE STE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391712",
"telephone_number": "405-629-0020",
"fax_number": "405-629-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 S WESTERN AVE STE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391712",
"telephone_number": "405-629-0020",
"fax_number": "405-629-0022"
}
],
"practiceLocations": [
{
"address_1": "7300 S Western Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731392001",
"country_code": "US",
"telephone_number": "405-629-0020",
"fax_number": "405-629-0022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "TRENA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.