Individual provider Active NPI

Patrick Brian Stiewel, D.D.S.

  • General Practice Dentistry
  • Hemet, CA
National Provider Identifier
1407898794
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D22848 Issued in CA
Practice address
111 N Buena Vista St
Hemet, CA 92543-4369
Phone
(951) 658-9486
Fax
(951) 658-9480
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D22848 CA Primary

Addresses

Primary practice location

111 N Buena Vista St
Hemet, CA 92543-4369

Mailing address

111 N Buena Vista St
Hemet, CA 92543-4369
Phone (951) 658-9486

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22848CAMDChiropractor
D22848CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1407898794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N BUENA VISTA ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434369",
            "telephone_number": "951-658-9486",
            "fax_number": "951-658-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N BUENA VISTA ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434369",
            "telephone_number": "951-658-9486",
            "fax_number": "951-658-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEWEL",
        "first_name": "PATRICK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D22848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.