Active NPI
Cornerstone Dental of Clive LLC
Doing business as Cornerstone Dental
- Dental Clinic/Center
- Clive, IA
National Provider Identifier
1285056382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CORNERSTONE DENTAL OF CLIVE LLC
- Doing business as
- Cornerstone Dental
- Practice address
- 11088 Hickman Rd
Clive, IA 50325-3740 - Phone
- (515) 984-6001
- NPI assigned
- Jan 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Hussong, DDS
- Title
- Owner
- Phone
- (515) 984-6001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
11088 Hickman Rd
Clive, IA 50325-3740
Mailing address
1010 S 3Rd St Ste 2a
Polk City, IA 50226-1181
Phone (515) 984-6001
Other names 1
- Cornerstone Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Polk City, IA
- NPI 1255539375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1285056382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S 3RD ST STE 2A",
"city": "POLK CITY",
"state": "IA",
"postal_code": "502261181",
"telephone_number": "515-984-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11088 HICKMAN RD",
"city": "CLIVE",
"state": "IA",
"postal_code": "503253740",
"telephone_number": "515-984-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE DENTAL OF CLIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-09",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "HUSSONG",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-984-6001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.