Individual provider Active NPI

James Ross Stewart Jr., D.D.S.

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1619032729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14750 Issued in MI
Practice address
15873 Middlebelt Rd
Suite 100
Livonia, MI 48154-3811
Phone
(734) 425-4400
Fax
(734) 425-8067
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14750 MI Primary

Addresses

Primary practice location

15873 Middlebelt Rd
Suite 100
Livonia, MI 48154-3811

Mailing address

15873 Middlebelt Rd
Suite 100
Livonia, MI 48154-3811
Phone (734) 425-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000363 MI Practitioner - Oral Surgery 0648459834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Michigan School of Dentistry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15873 Middlebelt Rd
Suite 100
Livonia, MI 48154-3896
Phone (734) 425-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14750MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Medicine of Michigan PLC CurrentSince Aug 26, 2012 Accepting new patients

Locations

15873 Middlebelt Rd
Ste 100
Livonia, MI 48154
Phone (734) 425-4400

15873 Middlebelt Rd
Ste 10
Livonia, MI 48154
Phone (734) 425-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619032729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15873 MIDDLEBELT RD",
            "address_2": "SUITE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543811",
            "telephone_number": "734-425-4400",
            "fax_number": "734-425-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15873 MIDDLEBELT RD",
            "address_2": "SUITE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543811",
            "telephone_number": "734-425-4400",
            "fax_number": "734-425-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JAMES",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.