Organization Active NPI

Cornerstone Health Community PC

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1003273293
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0051449 Issued in CO
Legal business name
CORNERSTONE HEALTH COMMUNITY PC
Practice address
7180 E Orchard Rd
Ste 306
Centennial, CO 80111-1724
Phone
(720) 452-7420
Fax
(720) 446-4174
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Christopher Jon Mote Sr., DONPI 1780812990
Title
President
Phone
(303) 770-4227

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X DR0051449 CO Primary

Addresses

Primary practice location

7180 E Orchard Rd
Ste 306
Centennial, CO 80111-1724

Mailing address

7180 E Orchard Rd
Ste 306
Centennial, CO 80111-1724
Phone (720) 452-7420

Other identifiers 1

IdentifierTypeStateIssuer
475232OtherCOMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223001067 CO Part B Supplier - Clinic/Group Practice 1052616430 Receives reassigned benefits from 4 practitioners
Practice locations: Centennial, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2114935Cornerstone Health Community PC7180 East Orchard Road, Centennial, CO 80111Certificate of waiverJun 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1003273293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "STE 306",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "720-452-7420",
            "fax_number": "720-446-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "STE 306",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "720-452-7420",
            "fax_number": "720-446-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH COMMUNITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MOTE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-770-4227",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0051449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "475232",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.