Individual provider Active NPI

Trena Kaye Stewart, D.D.S.

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1164466975
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5057 Issued in OK
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

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5057OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trena K Stewart,DDS,P.C. CurrentSince Mar 4, 2021 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.

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.

Verify at the official NPI Registry.