Active NPI
Krista Leigh Stewart, RDH
- Dental Hygienist
- Olney, MD
National Provider Identifier
1518723873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4640
- Practice address
- 18119 Cashell Rd
Olney, MD 20832-2003 - Phone
- (301) 820-7727
- NPI assigned
- Feb 26, 2024
- Last updated
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4640 | MD | Primary |
Addresses
Primary practice location
18119 Cashell Rd
Olney, MD 20832-2003
Mailing address
12153 Pond Pine Dr
Clarksburg, MD 20871-4475
Phone (240) 481-0358
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4640 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1518723873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12153 POND PINE DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714475",
"telephone_number": "240-481-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18119 CASHELL RD",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322003",
"telephone_number": "301-820-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KRISTA",
"middle_name": "LEIGH",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "4640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.