Cornerstone Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CORNERSTONE FAMILY DENTAL PLLC

Practice address

44 S Center St
Rexburg, ID 83440-3016

Phone

(208) 356-4240

Fax

(208) 356-5361

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas D Snarr, D.D.SNPI 1649311408

Title

Owner

Phone

(208) 356-4240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Dean Snarr, DDS

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1649311408
  NPD (past) Authorized official
• Bo Crofoot, DDS

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1669532230
  NPD

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1013374461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S CENTER ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403016",
            "telephone_number": "208-356-4240",
            "fax_number": "208-356-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S CENTER ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403016",
            "telephone_number": "208-356-4240",
            "fax_number": "208-356-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "SNARR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-4240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9196514",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Louis Coray, M.D.
• Bradley S Cordero, DPT
• Grant Guy Cordner, DMD
• Core Connection
• Cornerstone Caregiving West LLC
• Couch-Burtenshaw Dental
• Counseling & Treatment Center of Idaho
• Counseling & Treatment Center of Idaho, LLC
• County of Madison
• County of Madison School District 321

• All providers in Rexburg, ID
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.