K Stewart 003, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

K STEWART 003, LLC

Practice address

1242 Parkside Acorn Drive
Inman, SC 29349-8344

Phone

(864) 578-9366

NPI assigned

Nov 5, 2021

Last updated

Jun 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dallas Burnett

Title

Owner

Phone

(864) 415-0931

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kacey Medlin Evatt, DMD

  • Dentist
  • Inman, SC
  • NPI 1407530405
  NPD
• Katherine Stewart Ramey, DMD

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1134795016
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1891450755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N GROVE MEDICAL PARK DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-641-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 PARKSIDE ACORN DRIVE",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498344",
            "telephone_number": "864-578-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K STEWART 003, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-415-0931"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inman Dental Associates
• Inman Family Chiropractic
• Inman Operations, LLC (Inman Healthcare)
• Alyssa Sherrill Jackson, DNP, APRN, FNP-BC
• Tamara Deniece Johnson, M.D.
• Emily Meshey Kaufman, NP
• Emma Elaine Ying Keeling
• Kempson Rexall Drugs
• Kempson Rexall Drugs Inc
• Kishimjan Beishenalievna Ketner, NP

• General Practice Dentistry in Inman, SC
• Providers in Inman, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.