Active NPI
Rian K Stewart, D.M.D.
- Dentist
- Burlington, VT
National Provider Identifier
1396993390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5770
- Practice address
- 617 Riverside Avenue
Burlington, VT 05401 - Phone
- (802) 652-1050
- Fax
- (802) 652-1056
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5770 | NV | Primary |
Addresses
Primary practice location
617 Riverside Avenue
Burlington, VT 05401
Mailing address
617 Riverside Avenue
Burlington, VT 05401
Phone (802) 652-1050
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 |
|---|---|---|---|
| 5770 | NV | MD | Dentist |
Interoperability endpoints
- rian.stewart.p1@direct.chcb.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1396993390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVENUE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-652-1050",
"fax_number": "802-652-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVENUE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-652-1050",
"fax_number": "802-652-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RIAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "5770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.