Kendal Lance Stewart, M.D.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

H6632 Issued in TX

Practice address

11719 Bee Cave Rd. #204
Bee Cave, TX 78738-5543

Phone

(512) 338-9840

Fax

(512) 338-0863

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1225115876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 BEE CAVE RD. #204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385543",
            "telephone_number": "512-338-9840",
            "fax_number": "512-338-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 BEE CAVE RD. #204",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787385543",
            "telephone_number": "512-338-9840",
            "fax_number": "512-338-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KENDAL",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "H6632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133151409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonna M Sonnier
• Jason Philip Sparks, MED, CPHT, PHTR
• Mason Spence
• Ellen Frye Spencer, BCBA
• St. David'S Healthcare Partnership, L.P, LLP
• Maire Stonecipher, RBT
• Jessica Strauss, DNP, FNP-C
• Susie Nely Sant'Anna
• Rachel Sutherland, RBT
• Jon Eric Swanson, D.C.

• Otology & Neurotology Physician in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Otology & Neurotology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.