Active NPI
Ronald Carey Stewart, D.D.S.,M.S.
- Oral and Maxillofacial Surgery (Dentist)
- Flint, MI
National Provider Identifier
1831232065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 011870
- Practice address
- 2425 Welch Blvd
Flint, MI 48504-2998 - Phone
- (810) 232-7300
- Fax
- (810) 232-7312
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 011870 | MI | Primary |
Addresses
Primary practice location
2425 Welch Blvd
Flint, MI 48504-2998
Mailing address
2425 Welch Blvd
Flint, MI 48504-2998
Phone (810) 232-7300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5256024 | Other | MI | BLUE CARE NETWORK MEDICAL |
| 975256024 | Other | MI | HEALTHPLUS & GEN HEALTH P |
| 9752560240 | Other | MI | BLUECROSS BLUE SHIELD MED |
| D118700 | Other | MI | DELTA DENTAL OF MI |
| D64927 | Other | MI | BLUE CARE NETWORK DENTAL |
| 102997787 | Medicaid | MI | |
| 124063680 | Medicaid | MI |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120229000892 | MI | Practitioner - Maxillofacial Surgery | 7214195767 | Practice locations: Flint, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- University of Michigan School of Dentistry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2425 Welch Blvd
Flint, MI 48504-2998
Phone (810) 232-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011870 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- ronald.stewart.1@25862.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1831232065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 WELCH BLVD",
"city": "FLINT",
"state": "MI",
"postal_code": "485042998",
"telephone_number": "810-232-7300",
"fax_number": "810-232-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 WELCH BLVD",
"city": "FLINT",
"state": "MI",
"postal_code": "485042998",
"telephone_number": "810-232-7300",
"fax_number": "810-232-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RONALD",
"middle_name": "CAREY",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "011870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK MEDICAL",
"identifier": "5256024",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS & GEN HEALTH P",
"identifier": "975256024",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD MED",
"identifier": "9752560240",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MI",
"identifier": "D118700",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK DENTAL",
"identifier": "D64927",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102997787",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124063680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.