Rigo Cornejo, DMD MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN15279 Issued in FL

Practice address

400 Avenue K SE
Suite #14a
Winter Haven, FL 33880-4145

Phone

(863) 294-7648

Fax

(863) 294-9045

NPI assigned

Jul 26, 2006

Last updated

Aug 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David C Neal DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Haven, FL
  • NPI 1659596088
  NPD (past)
• Winter Haven Oral Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Haven, FL
  • NPI 1609122357
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1083637334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE #14A",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804145",
            "telephone_number": "863-294-7648",
            "fax_number": "863-294-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE #14A",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804145",
            "telephone_number": "863-294-7648",
            "fax_number": "863-294-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "RIGO",
        "name_prefix": "Dr.",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Cooper, DDS
• Cora Health Services Inc (CORA Physical Therapy - Winter Haven)
• Cora Rehabilitation
• Wendy Corea
• William J Corkins, O.D.
• Stephanie Arrouet Cornejo, DDS
• Katelyn Jan Cornelius
• Carey L Cornett, LMT
• Kimberly A Cornish, LMHC
• Francisco Felipe Coronado Sr., PT

• Oral and Maxillofacial Surgery (Dentist) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.