John S. Cordell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019.021872 Issued in IL

Practice address

1880 N Roselle Rd
Ste. 212
Schaumburg, IL 60195-3197

Phone

(847) 882-3360

NPI assigned

Jul 2, 2008

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 IL

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

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.

• Abc Dentistry, LLP

  • Pediatric Dentistry
  • Schaumburg, IL
  • NPI 1194206052
  NPD (past)
• Abc Dentistry, LTD.

  • Pediatric Dentistry
  • Schaumburg, IL
  • NPI 1043352354
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1235392986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 REGALIA DR",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600106443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N ROSELLE RD",
            "address_2": "STE. 212",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953197",
            "telephone_number": "847-882-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.021872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Conway
• Kiera Cook
• Joshua M Copeland
• Cherlyn Coplon, LAC, DIPL.OM
• Sandi Corbett
• Core Psychotherapy Center
• Corey J Walther DDS LTD
• Cynthia Cornejo, PSYD
• Yessenia S. Cornejo, LCPC
• Abigail Marie Cortis, DMD

• Dentist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.