Active NPI
Scott W Stewart DMD PLLC
- General Practice Dentistry
- Silverdale, WA
National Provider Identifier
1265574537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00010586
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5051396 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Tacoma, WA
- NPI 1205926110
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.