NPIMap

Organization Active NPI

Bob Stewart DDS and Associates PA

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1770635757
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15670 Issued in TX
Legal business name
BOB STEWART DDS AND ASSOCIATES PA
Practice address
3603 Fairmont Pkwy
Fairmont Family Dentistry
Pasadena, TX 77504
Phone
(281) 487-6453
Fax
(281) 998-3380
NPI assigned
Jan 18, 2007
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Robert Chisem Stewart III, DDSNPI 1699935387
Title
Owner Dentist
Phone
(281) 487-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15670 TX Primary

Addresses

Primary practice location

3603 Fairmont Pkwy
Fairmont Family Dentistry
Pasadena, TX 77504

Mailing address

3606 Fairmont Pkwy
Pasadena, TX 77504-3008
Phone (281) 487-6453

Other names 1

  • Professional Association Other name

National Provider Directory

National Provider Directory

Locations

3606 Fairmont Pkwy
Pasadena, TX 77504
Phone (281) 487-6453

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1770635757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043008",
            "telephone_number": "281-487-6453",
            "fax_number": "281-998-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 FAIRMONT PKWY",
            "address_2": "FAIRMONT FAMILY DENTISTRY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "281-487-6453",
            "fax_number": "281-998-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB STEWART DDS AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHISEM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "281-487-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.