Jeremy Ray Stewart, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

32981 Issued in TX

Practice address

1501 Emerald Pkwy
College Station, TX 77845-5551

Phone

(979) 693-6300

NPI assigned

Nov 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elms Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • College Station, TX
  • NPI 1467726307
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1588200281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 EMERALD PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455551",
            "telephone_number": "979-693-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 EMERALD PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455551",
            "telephone_number": "979-693-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Calvert St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TX",
            "postal_code": "778565991",
            "country_code": "US",
            "telephone_number": "979-213-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEREMY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "32981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Stevens, BS
• Zachary Lloyd Stevenson, M.D.
• Emily Gay Little Stewart, M.D.
• Hayden Stewart, PT
• Jenna Marie Stewart, COTA/L
• Natalie Stewart
• Tiffany M Stewart, LPC
• Zachary Isaac Stewart, M.D.
• Taylyn Still
• Hannah Stoltz

• Orthodontics and Dentofacial Orthopedics Dentistry in College Station, TX
• Providers in College Station, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.