Organization Active NPI

Jarrod C. Cornehl, DDS, PC

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1043589096
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52365 Issued in CA
Legal business name
JARROD C. CORNEHL, DDS, PC
Practice address
260 Stockton St FL 4
San Francisco, CA 94108-5317
Phone
(415) 392-5025
NPI assigned
Dec 20, 2011
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Dr. Jarrod Cornehl, DDSNPI 1619975117
Title
President
Phone
(415) 392-5025

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
General Practice Dentistry 1223G0001X 52365 CA Primary

Addresses

Primary practice location

260 Stockton St FL 4
San Francisco, CA 94108-5317

Mailing address

260 Stockton St FL 4
San Francisco, CA 94108-5317
Phone (415) 392-5025

National Provider Directory

National Provider Directory

Locations

260 Stockton St
Fl 2
San Francisco, CA 94108
Phone (415) 397-1030

260 Stockton St
Fl 4
San Francisco, CA 94108
Phone (415) 392-5025

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1043589096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085317",
            "telephone_number": "415-392-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STOCKTON ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085317",
            "telephone_number": "415-392-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARROD C. CORNEHL, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CORNEHL",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-392-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.