Edgar Alan Stewart, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

143758-9926 Issued in UT

Practice address

440 S Main St
Richfield, UT 84701-2855

Phone

(435) 893-6806

Fax

(435) 201-5720

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paiute Indian Tribe of Utah

  • Dental Clinic/Center
  • Cedar City, UT
  • NPI 1942693213
  NPD (past)
• Gamaliel I. Rodriguez, DDS, PC

  • General Practice Dentistry
  • North Pole, AK
  • NPI 1558726489
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1508870684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-867-2650",
            "fax_number": "435-867-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012855",
            "telephone_number": "435-893-6806",
            "fax_number": "435-201-5720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2595 Saint Nicholas Dr",
            "address_purpose": "LOCATION",
            "city": "North Pole",
            "state": "AK",
            "postal_code": "997057747",
            "country_code": "US",
            "telephone_number": "907-490-4629",
            "fax_number": "907-490-4649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 N Paiute Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847216181",
            "country_code": "US",
            "telephone_number": "435-867-2650",
            "fax_number": "435-867-2658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "EDGAR",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "670",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "143758-9926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015286",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenady Sorenson
• Russell Douglas Sorenson, PHD
• Jesse Neil Spencer, M.D.
• Stepping Stones Family Counseling
• Tara Sterling
• Super Drug & Herbal Store, Inc
• Thomas J. Tavenner, CRNA
• Angela Pearl Taylor
• Aubrey Taylor
• Lisa Taylor, MS

• Dentist in Richfield, UT
• Providers in Richfield, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.