Organization Active NPI

Gary Stewart DDS Inc

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1891860953
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28990 Issued in CA
Legal business name
GARY STEWART DDS INC
Doing business as
Harbour Landing Dental and College Street Family Dental Group
Practice address
4911 Warner Avenue
Suite 202
Huntington Beach, CA 92649
Phone
(714) 846-4414
Fax
(714) 846-7655
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Gary Michael Stewart
Title
President of Dental Corporation
Phone
(714) 846-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28990 CA Primary

Addresses

Primary practice location

4911 Warner Avenue
Suite 202
Huntington Beach, CA 92649

Mailing address

4911 Warner Avenue
Suite 202
Huntington Beach, CA 92649
Phone (714) 846-4414

Other names 1

  • Harbour Landing Dental and College Street Family Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

Warner Ave 4911
Ste 202
Huntington Beach, CA 92649
Phone (714) 846-4414

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1891860953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVENUE",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "714-846-4414",
            "fax_number": "714-846-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVENUE",
            "address_2": "SUITE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "714-846-4414",
            "fax_number": "714-846-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY STEWART DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OF DENTAL CORPORATION",
        "authorized_official_telephone_number": "714-846-4414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Landing Dental and College Street Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.