Active NPI
Carly Stewart, DDS
- General Practice Dentistry
- Belton, MO
National Provider Identifier
1285328609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2025000359
- Practice address
- 630 E Markey Pkwy
Belton, MO 64012-3227 - Phone
- (816) 331-1900
- NPI assigned
- Jun 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62102 | KS | |
| General Practice Dentistry | 1223G0001X | 2025000359 | MO | Primary |
Addresses
Primary practice location
630 E Markey Pkwy
Belton, MO 64012-3227
Mailing address
5227 Riggs St
Mission, KS 66202-1672
Phone (913) 701-0092
Other practice location 1
6302 Monrovia St
Shawnee, KS 66216-2740
Phone (913) 341-6767
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 |
|---|---|---|---|
| 62102 | KS | MD | General Practice Dentistry |
| 2025000359 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1285328609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5227 RIGGS ST",
"city": "MISSION",
"state": "KS",
"postal_code": "662021672",
"telephone_number": "913-701-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E MARKEY PKWY",
"city": "BELTON",
"state": "MO",
"postal_code": "640123227",
"telephone_number": "816-331-1900"
}
],
"practiceLocations": [
{
"address_1": "6302 Monrovia St",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662162740",
"country_code": "US",
"telephone_number": "913-341-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "CARLY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "62102",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2025000359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.