Todd L Stewart DDS and Associates PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8124 Issued in NC

Legal business name

TODD L STEWART DDS AND ASSOCIATES PA

Practice address

9739 Northlake Centre Pkwy
Charlotte, NC 28216-6400

Phone

(704) 235-6075

Fax

(704) 235-6076

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Todd L Stewart

Title

Owner

Phone

(704) 235-6075

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1487981031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9739 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166400",
            "telephone_number": "704-235-6075",
            "fax_number": "704-235-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9739 NORTHLAKE CENTRE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166400",
            "telephone_number": "704-235-6075",
            "fax_number": "704-235-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD L STEWART DDS AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-235-6075",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7528",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8336",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8124",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910080",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909475",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904095",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W. Tobin, PH.D.
• John Tocho
• Ashley Latos Toci, M.D.
• Kayla Todaro
• Todd Helfman MD, PA
• Allison Short Todd, LCSW
• Carlos Todd, LPC
• Claire Marie Todd, PHARMD
• Darby Woodard Todd, PA
• Erica Graves Todd, LPC

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.