Russell M Stewart, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

294141-9922 Issued in UT

Practice address

1054 E Riverside Dr # 100
St George, UT 84790-4477

Phone

(435) 656-8888

Fax

(435) 656-8895

NPI assigned

Feb 14, 2007

Last updated

Nov 18, 2009By 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

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1316089212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR # 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-656-8888",
            "fax_number": "435-656-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR # 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-656-8888",
            "fax_number": "435-656-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RUSSELL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "294141-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayla Mae Stewart, LCSW
• James Nathaniel Stewart, OT
• Jeffrey Lee Stewart, DPM
• Justice Stewart
• Katherine Cecelia Stewart, NP
• Sandi K. Stewart
• Madison Nicole Stichauf
• Kassandra Stiggins, LCSW
• Marissa Stiggins, M.S. CCC
• Sydney Stilson

• General Practice Dentistry in St George, UT
• Providers in St George, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.