Birth Stewart Oral Surgery Ft Worth

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19486 Issued in TX

Legal business name

BIRTH STEWART ORAL SURGERY FT WORTH

Practice address

3060 Sycamore School Rd
Fort Worth, TX 76133-7771

Phone

(817) 370-0268

Fax

(817) 263-9217

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stewart, DDS

Title

Orthodontist

Phone

(817) 370-0268

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1417389032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330874",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761630874",
            "telephone_number": "817-370-0268",
            "fax_number": "817-263-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SYCAMORE SCHOOL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337771",
            "telephone_number": "817-370-0268",
            "fax_number": "817-263-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH STEWART ORAL SURGERY FT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "817-370-0268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19486",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Birdwell, MD
• Samuel D Birkner, ED.D., L.P.C.
• Jan L Birks, CLINICAL SOCIAL WORK
• Brian D. Birmingham, CRNA
• Birth Fletcher Oral Surgery Keller
• Sheila T Birth, D.D.S. M.S.
• Brittany Bisetti
• Katherine L Bishop, LCDC
• Kayla R Bishop
• Lacey Bishop

• Oral and Maxillofacial Surgery (Dentist) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.