NPIMap

Organization Active NPI

Kristen Stewart, DDS, Inc

  • Dentist
  • Redding, CA
National Provider Identifier
1326584616
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100153 Issued in CA
Legal business name
KRISTEN STEWART, DDS, INC
Practice address
2750 Airpark Dr
Redding, CA 96001-2463
Phone
(530) 243-8888
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Kristen Marie Stewart, DDSNPI 1922547140
Title
President
Phone
(530) 243-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100153 CA Primary

Addresses

Primary practice location

2750 Airpark Dr
Redding, CA 96001-2463

Mailing address

2750 Airpark Dr
Redding, CA 96001-2463
Phone (530) 243-8888

National Provider Directory

National Provider Directory

Locations

2750 Airpark Dr
Redding, CA 96001
Phone (530) 243-8888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1326584616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012463",
            "telephone_number": "530-243-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012463",
            "telephone_number": "530-243-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN STEWART, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-243-8888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.