Cameron Stewart DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

00006438 Issued in WA

Legal business name

CAMERON STEWART DDS LLC

Practice address

860 S 2ND Ave
Suite D
Walla Walla, WA 99362-4072

Phone

(509) 529-3470

Fax

(509) 529-3474

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cameron Stewart, DDSNPI 1841387156

Title

Owner

Phone

(509) 529-3470

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Prosmiles Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron Sayre Stewart, DDS

  • Dentist
  • Walla Walla, WA
  • NPI 1841387156
  NPD (past) Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1821544792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S 2ND AVE",
            "address_2": "SUITE D",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624072",
            "telephone_number": "509-529-3470",
            "fax_number": "509-529-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S 2ND AVE",
            "address_2": "SUITE D",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624072",
            "telephone_number": "509-529-3470",
            "fax_number": "509-529-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON STEWART DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-529-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00006438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1841387156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5014667",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "50004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosmiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Caldwell
• Ryan Calhoon, LMT
• Heather Calkins
• Jennifer Callender
• Patrick Andrew Calvo, LMFTA
• Perry E Camp, MD
• Cheryl Ann Campbell, LICSW, CDP
• Michelle I Cardenas, MSW
• Melissa Mercedes Carder, PTA
• Catherine Carlin

• Dentist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.