Kevin Dale Stewart, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24935 Issued in TX

Practice address

3600 E McKinney St Ste 190
Denton, TX 76209-6543

Phone

(702) 376-7374

NPI assigned

Jul 27, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Red River Family Dental, PLLC

  • General Practice Dentistry
  • Gainesville, TX
  • NPI 1063853281
  NPD (past) Authorized official

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1295049781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ASPEN RD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402947",
            "telephone_number": "702-376-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST STE 190",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762096543",
            "telephone_number": "702-376-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Stevenson, ATC/L
• Holly Steward, M.ED, LPC
• Morgan Steward, CPNP-PC
• Jahann Stewart
• Jessica Mary Stewart
• Lee Ann Stewart, FNP
• Amanda Stiles-Harber
• Melissa Carol Stockholm
• Laurie Ann Stokes-Bell, LBSW
• Stone Creek Dental PLLC

• General Practice Dentistry in Denton, TX
• Providers in Denton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.