Organization Active NPI

Cornerstone Family Dental, Mark Saladin, D.M.D. and Louis Drackert, D.

  • General Practice Dentistry
  • Carthage, MO
National Provider Identifier
1184902587
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORNERSTONE FAMILY DENTAL, MARK SALADIN, D.M.D. AND LOUIS DRACKERT, D.
Practice address
1604 Missouri Ave
Carthage, MO 64836-3059
Phone
(417) 358-3361
Fax
(417) 358-4222
NPI assigned
Aug 2, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Navon Cook
Title
Practice Administrator
Phone
(417) 358-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1604 Missouri Ave
Carthage, MO 64836-3059

Mailing address

1604 Missouri Ave
Carthage, MO 64836-3059
Phone (417) 358-3361

National Provider Directory

National Provider Directory

Locations

1604 Missouri Ave
Carthage, MO 64836
Phone (417) 358-3361

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1184902587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-358-3361",
            "fax_number": "417-358-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-358-3361",
            "fax_number": "417-358-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY DENTAL, MARK SALADIN, D.M.D. AND LOUIS DRACKERT, D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NAVON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "417-358-3361"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.