Gary Cornforth

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1504C Issued in ND

Legal business name

GARY CORNFORTH

Practice address

2534 University Dr S
Suite #6
Fargo, ND 58103-5700

Phone

(701) 232-1500

Fax

(701) 293-6969

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Gary Cornforth, DDS MS

Title

Orthodontist

Phone

(701) 232-1500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1013326768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 UNIVERSITY DR S",
            "address_2": "SUITE #6",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035700",
            "telephone_number": "701-232-1500",
            "fax_number": "701-293-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 UNIVERSITY DR S",
            "address_2": "SUITE #6",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035700",
            "telephone_number": "701-232-1500",
            "fax_number": "701-293-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CORNFORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "CORNFORTH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "701-232-1500",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1504C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Garrett, MPT
• Stephen P Garrity, MD
• Kou Gartei
• Catherine M Garvey, PA-C
• Gary a. Matthys MD PLC
• Gary E. Johnson, O.D., P.C.
• Gary L. Renier, O.D. LTD
• Enej Gasevic, M.D.
• Krin Lee Gast, ASCP
• Amie Gatawah

• Dental Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.