Organization Active NPI

Cornerstone Dental PC

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1033326400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7609 Issued in WA
Legal business name
CORNERSTONE DENTAL PC
Practice address
217 SE 136TH Ave Ste 103
Vancouver, WA 98684-6908
Phone
(360) 256-3800
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel J Lundquist, D.D.S
Title
Dentist
Phone
(360) 256-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7609 WA Primary

Addresses

Primary practice location

217 SE 136TH Ave Ste 103
Vancouver, WA 98684-6908

Mailing address

217 SE 136TH Ave Ste 103
Vancouver, WA 98684-6908
Phone (360) 256-3800

National Provider Directory

National Provider Directory

Locations

217 SE 136th Ave
Ste 103
Vancouver, WA 98684
Phone (360) 256-3800

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033326400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SE 136TH AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846908",
            "telephone_number": "360-256-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SE 136TH AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846908",
            "telephone_number": "360-256-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-256-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.