Organization Active NPI

Charles Stewart Management Company,LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Weatherford, TX
National Provider Identifier
1184811705
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11736 Issued in TX
Legal business name
CHARLES STEWART MANAGEMENT COMPANY,LLC
Doing business as
Stewart Orthodontics,INC
Practice address
1429 Clear Lake Rd
Suite 300
Weatherford, TX 76086-5895
Phone
(817) 341-2777
Fax
(817) 594-7099
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Charles Daniel Stewart, D.D.S.
Title
Managing Member
Phone
(817) 346-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 11736 TX Primary

Addresses

Primary practice location

1429 Clear Lake Rd
Suite 300
Weatherford, TX 76086-5895

Mailing address

1429 Clear Lake Rd
Suite 300
Weatherford, TX 76086-5895
Phone (817) 341-2777

Other names 1

  • Stewart Orthodontics,INC Doing business as

National Provider Directory

National Provider Directory

Locations

1429 Clear Lake Rd
Ste 300
Weatherford, TX 76086
Phone (817) 341-2777

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1184811705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD",
            "address_2": "SUITE 300",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865895",
            "telephone_number": "817-341-2777",
            "fax_number": "817-594-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD",
            "address_2": "SUITE 300",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865895",
            "telephone_number": "817-341-2777",
            "fax_number": "817-594-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES STEWART MANAGEMENT COMPANY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-346-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Orthodontics,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.