Brad Stewart, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

83425349922 Issued in UT

Practice address

4902 S 1900 W Ste 2
Roy, UT 84067-2961

Phone

(801) 773-1234

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1457452864
  NPD (past)
• Russell Seamons DMD PC

  • Dentist
  • Roy, UT
  • NPI 1659714392
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1255687364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 S 1900 W STE 2",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S 1900 W STE 2",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672961",
            "telephone_number": "801-773-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "83425349922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit Mountain Behavioral Health Services
• Kyle Benjamin Staheli, DPT
• Standard Optical Co
• Patricia Stanley
• Danyel Steverson
• Allyssa Stock
• Olivia Stocking
• Jerrica Elizabeth Stoddard, FNP
• Clara Stone
• Keola Thane Stone, COTA/L

• Dentist in Roy, UT
• Providers in Roy, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.