Organization Active NPI

Cornerstone Dental

  • General Practice Dentistry
  • Oldsmar, FL
National Provider Identifier
1053649459
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11975 Issued in FL
Legal business name
CORNERSTONE DENTAL
Practice address
4009 Tampa Rd
Suite 6
Oldsmar, FL 34677-3206
Phone
(813) 448-7828
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Dr. Kevin A Franklin, DMD
Title
President
Phone
(813) 448-7828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11975 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4009 Tampa Rd
Suite 6
Oldsmar, FL 34677-3206

Mailing address

4009 Tampa Rd
Suite 6
Oldsmar, FL 34677-3206
Phone (813) 448-7828

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1053649459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 TAMPA RD",
            "address_2": "SUITE 6",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773206",
            "telephone_number": "813-448-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 TAMPA RD",
            "address_2": "SUITE 6",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773206",
            "telephone_number": "813-448-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-448-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11975",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.