Active NPI
Mary Lou Stewart, DDS
- Endodontics
- Oak Harbor, WA
National Provider Identifier
1215900139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 32929
- Practice address
- 3475 W Saratoga St
Oak Harbor, WA 98278-0001 - Phone
- (360) 257-4410
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 32929 | CA | Primary |
Addresses
Primary practice location
3475 W Saratoga St
Oak Harbor, WA 98278-0001
Mailing address
3475 W Saratoga St
Oak Harbor, WA 98278-0001
Phone (360) 257-4410
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 |
|---|---|---|---|
| 32929 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1215900139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 W SARATOGA ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982780001",
"telephone_number": "360-257-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 W SARATOGA ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982780001",
"telephone_number": "360-257-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARY",
"middle_name": "LOU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "32929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.