Amanda Nicole Stewart, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08596 Issued in IA

Practice address

907 N Ankeny Blvd
Ankeny, IA 50023-4002

Phone

(515) 964-1490

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Amanda Nicole Estey Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1689701740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 SE VANDALIA DR",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503275164",
            "telephone_number": "515-864-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234002",
            "telephone_number": "515-964-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027098",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ESTEY",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Stensland
• Cheryl Anne Stenzel, RPH
• Caroline Lee Stevens, COTA/L
• Jordan O Stevens, PT, DPT
• Stewart Sport and Spine Physical Therapy
• Jeff Scott Stewart
• Joshua Raymond Stewart, PT, DPT, OCS
• Knya Stewart
• Sara Stiles, LISW, CADC
• Cara Dance Stille, LMHC-T

• General Practice Dentistry in Ankeny, IA
• Providers in Ankeny, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.