Active NPI
Robert B. Stewart, DDS, Ms, PC
- Prosthodontics
- Grosse Pointe Woods, MI
National Provider Identifier
1982846689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2901014751
- Legal business name
- ROBERT B. STEWART, DDS, MS, PC
- Practice address
- 19635 Mack Ave
Grosse Pointe Woods, MI 48236-2535 - Phone
- (313) 882-8711
- NPI assigned
- Mar 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bruce Stewart, DDS, MS
- Title
- President
- Phone
- (313) 882-8711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2901014751 | MI | Primary |
Addresses
Primary practice location
19635 Mack Ave
Grosse Pointe Woods, MI 48236-2535
Mailing address
19635 Mack Ave
Grosse Pointe Woods, MI 48236-2535
Phone (313) 882-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ON19830 | Other | MI | MEDICARE PROVIDER NUMBER |
| 1285770057 | Other | MI | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
19635 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 382-8711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238112000000",
"number": "1982846689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19635 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482362535",
"telephone_number": "313-882-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19635 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482362535",
"telephone_number": "313-882-8711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT B. STEWART, DDS, MS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-882-8711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MI",
"license": "2901014751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "ON19830",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1285770057",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.