Active NPI
Jennifer Jean Stewart, D.D.S.
- Dentist
- Glen Burnie, MD
National Provider Identifier
1558565408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14041
- Practice address
- 7600 Ritchie Hwy
Glen Burnie, MD 21061-3718 - Phone
- (410) 760-6699
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14041 | MD | Primary |
Addresses
Primary practice location
7600 Ritchie Hwy
Glen Burnie, MD 21061-3718
Mailing address
7600 Ritchie Hwy
Glen Burnie, MD 21061-3718
Phone (410) 760-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 30, 2023 through Mar 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14041 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Stewart DDS LLC | Current | Accepting new patients |
Locations
7600 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 760-6699
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Glen Burnie, MD
- NPI 1578088894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1558565408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613718",
"telephone_number": "410-760-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613718",
"telephone_number": "410-760-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.