Individual provider Active NPI

Ronald Carey Stewart, D.D.S.,M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Flint, MI
National Provider Identifier
1831232065
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
011870 Issued in MI
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5256024OtherMIBLUE CARE NETWORK MEDICAL
975256024OtherMIHEALTHPLUS & GEN HEALTH P
9752560240OtherMIBLUECROSS BLUE SHIELD MED
D118700OtherMIDELTA DENTAL OF MI
D64927OtherMIBLUE CARE NETWORK DENTAL
102997787MedicaidMI
124063680MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
011870MIMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.