Organization Active NPI

Bruce a Stewart DDS PC

  • General Practice Dentistry
  • Comstock Park, MI
National Provider Identifier
1982835872
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010300 Issued in MI
Legal business name
BRUCE A STEWART DDS PC
Practice address
769 York Creek Dr NW
Comstock Park, MI 49321-8712
Phone
(616) 784-2377
Fax
(616) 784-0707
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mrs. Kay Stewart
Title
Office Manager
Phone
(616) 784-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901010300 MI Primary

Addresses

Primary practice location

769 York Creek Dr NW
Comstock Park, MI 49321-8712

Mailing address

769 York Creek Dr NW
Comstock Park, MI 49321-8712
Phone (616) 784-2377

National Provider Directory

National Provider Directory

Locations

769 York Creek Dr NW
Comstock Park, MI 49321
Phone (616) 784-2377

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": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1982835872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 YORK CREEK DR NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218712",
            "telephone_number": "616-784-2377",
            "fax_number": "616-784-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 YORK CREEK DR NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218712",
            "telephone_number": "616-784-2377",
            "fax_number": "616-784-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A STEWART DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-784-2377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.