Shadoe Stewart, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12739 Issued in NC

Practice address

1591 Yanceyville St Ste 300B
Greensboro, NC 27405-6944

Phone

(336) 274-1950

Fax

(336) 274-1951

NPI assigned

Jun 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 14, 2025 through Jul 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sstewart579840@direct.unc.nchie.net

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.

• Adams School of Dentistry

  • Dental Clinic/Center
  • Chapel Hill, NC
  • NPI 1972349710
  NPD
• Unc School of Dentistry

  • Dentist
  • Chapel Hill, NC
  • NPI 1255783197
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1700515632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 YANCEYVILLE ST STE 300B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056944",
            "telephone_number": "336-274-1950",
            "fax_number": "336-274-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 YANCEYVILLE ST STE 300B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056944",
            "telephone_number": "336-274-1950",
            "fax_number": "336-274-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHADOE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "12739",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Stewart
• Lauren Elizabeth Stewart
• Naomi Haith Stewart, RN
• Randi Culp Stewart, MS, CGC
• Sarah H. Stewart, R.N.
• Tonya Antoinette Stewart
• Emily Catherine Stiglich
• Ryan Todd Stikeleather, MD
• Still Standing Home Health
• Susan Stinehelfer, MD

• Periodontics in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.

Verify at the official NPI Registry.