Active NPI
Cathleen Helen Tapp Stewart, DMD
- Dentist
- Bloomington, CA
National Provider Identifier
1982706610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33379
- Practice address
- 18601 Valley Boulevard
Bloomington, CA 92316 - Phone
- (909) 746-0840
- Fax
- (909) 877-5468
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33379 | CA | Primary |
Addresses
Primary practice location
18601 Valley Boulevard
Bloomington, CA 92316
Mailing address
18601 Valley Boulevard
Bloomington, CA 92316
Phone (909) 877-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9805401 | Other | CA | DELTA DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982706610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18601 VALLEY BOULEVARD",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "92316",
"telephone_number": "909-877-1818",
"fax_number": "909-746-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 VALLEY BOULEVARD",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "92316",
"telephone_number": "909-746-0840",
"fax_number": "909-877-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CATHLEEN",
"middle_name": "HELEN TAPP",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "33379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "G9805401",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.