NPIMap

Organization Active NPI

Thomas K. & Cheryl a. Stewart, DDS, LTD.

  • General Practice Dentistry
  • Gurnee, IL
National Provider Identifier
1962554899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS K. & CHERYL A. STEWART, DDS, LTD.
Practice address
5101 Washington St
Suite 2K
Gurnee, IL 60031-5916
Phone
(847) 244-1925
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl Ann Stewart, DDSNPI 1427100874
Title
Secretary
Phone
(847) 244-1925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5101 Washington St
Suite 2K
Gurnee, IL 60031-5916

Mailing address

7023 Bradley Dr
Gurnee, IL 60031-5637

National Provider Directory

National Provider Directory

Locations

5101 Washington St
Ste 2K
Gurnee, IL 60031
Phone (847) 244-1925

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962554899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 BRADLEY DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST",
            "address_2": "SUITE 2K",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315916",
            "telephone_number": "847-244-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K. & CHERYL A. STEWART, DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-244-1925",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.