NPIMap

Organization Active NPI

Cornerstone Dental & Orthodontics, LLC

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1285956953
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9720 Issued in CO
Legal business name
CORNERSTONE DENTAL & ORTHODONTICS, LLC
Practice address
17002 E Mainstreet Ste H
Parker, CO 80134-4961
Phone
(720) 842-1900
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Yun Kyoung Kwon, D.M.D.NPI 1326212739
Title
Owner
Phone
(720) 842-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9720 CO Primary

Addresses

Primary practice location

17002 E Mainstreet Ste H
Parker, CO 80134-4961

Mailing address

17002 E Mainstreet Ste H
Parker, CO 80134-4961

National Provider Directory

National Provider Directory

Locations

17002 E Mainstreet
Ste H
Parker, CO 80134
Phone (720) 842-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1285956953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17002 E MAINSTREET STE H",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17002 E MAINSTREET STE H",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344961",
            "telephone_number": "720-842-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL & ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "KYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-842-1900",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.