Organization Active NPI

Scott W Stewart DMD PLLC

  • General Practice Dentistry
  • Silverdale, WA
National Provider Identifier
1265574537
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010586 Issued in WA
Legal business name
SCOTT W STEWART DMD PLLC
Practice address
2021 NW Myhre PL
Suite 107
Silverdale, WA 98383-8562
Phone
(360) 692-1134
Fax
(360) 613-2787
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Dr. Scott William Stewart, D.M.D.
Title
Dentist and Owner
Phone
(360) 692-1134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010586 WA Primary

Addresses

Primary practice location

2021 NW Myhre PL
Suite 107
Silverdale, WA 98383-8562

Mailing address

2021 NW Myhre PL
Suite 107
Silverdale, WA 98383-8562
Phone (360) 692-1134

Other identifiers 1

IdentifierTypeStateIssuer
5051396MedicaidWA

National Provider Directory

National Provider Directory

Locations

8745 Pacific Ave NW
Ste 103
Silverdale, WA 98383
Phone (253) 584-0858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1265574537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NW MYHRE PL",
            "address_2": "SUITE 107",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838562",
            "telephone_number": "360-692-1134",
            "fax_number": "360-613-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NW MYHRE PL",
            "address_2": "SUITE 107",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838562",
            "telephone_number": "360-692-1134",
            "fax_number": "360-613-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W STEWART DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "360-692-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051396",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.