Derek M Cornetta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856555 Issued in MA

Practice address

36 S Main St
Assonet, MA 02702-1710

Phone

(508) 644-5200

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Derek M Cornetta, DDS, PC

  • Dental Clinic/Center
  • Assonet, MA
  • NPI 1750852182
  NPD Authorized official
• James E Byers, DMD, PC

  • General Practice Dentistry
  • Assonet, MA
  • NPI 1134448442
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1093128795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027020137",
            "telephone_number": "508-644-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S MAIN ST",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021710",
            "telephone_number": "508-644-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETTA",
        "first_name": "DEREK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856555",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Aronofsky, LMT
• Dawn Marie Beaulieu
• Britni M Betts
• James E Byers, DMD
• Lynne Almerico Byers, DMD
• Crystal Springs, Inc.
• Crystal Springs, Inc.
• Karen Cummings, LICSW
• Kathryn Lee Davis, CCC-SLP
• Derek M Cornetta, DDS, PC

• General Practice Dentistry in Assonet, MA
• Providers in Assonet, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.