Active NPI
Michael Joel Stewart, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Gordon, GA
National Provider Identifier
1407808397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5349
- Practice address
- USA Dental Health Activity
BLDG 38801, Academic Drive
Fort Gordon, GA 30905 - Phone
- (706) 787-5738
- NPI assigned
- May 17, 2006
- Sex
- Male
- 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 | 5349 | AL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5349 | AL | Primary |
Addresses
Primary practice location
USA Dental Health Activity
BLDG 38801, Academic Drive
Fort Gordon, GA 30905
Mailing address
Ft. Gordon Dental Health Activity
BLDG 38801, Academic Drive
Fort Gordon, GA 30905
Phone (706) 787-5738
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Stewart DMD LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Birmingham, AL
- NPI 1982576187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1407808397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FT. GORDON DENTAL HEALTH ACTIVITY",
"address_2": "BLDG 38801, ACADEMIC DRIVE",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA DENTAL HEALTH ACTIVITY",
"address_2": "BLDG 38801, ACADEMIC DRIVE",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MICHAEL",
"middle_name": "JOEL",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-03-28",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5349",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "5349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.