Cameron Sayre Stewart, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00006438 Issued in WA

Practice address

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

Phone

(509) 529-3470

Fax

(509) 529-3474

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cameron Stewart DDS LLC

  dba Prosmiles Family Dentistry

  • Dentist
  • Walla Walla, WA
  • NPI 1821544792
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841387156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S 2ND",
            "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",
            "address_2": "SUITE D",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624072",
            "telephone_number": "509-529-3470",
            "fax_number": "509-529-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAMERON",
        "middle_name": "SAYRE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "00006438",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D2004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5014667",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORS INDUSTRIES",
            "identifier": "50004",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Stein, PT, DPT
• Ernest William Steinle, M.D.
• Sarah Stephan
• Amanda Jo Stepper, CNM
• Laurel Stevens, M.D.
• Jeffrey C Stiles, M.D.
• Ronald A Stiller, MD
• Jennifer Stineman, RN
• Jeanie Stockman, LMP
• John R. Stoddard, M.D.

• 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 Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.