Cornerstone Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8868 Issued in OR

Legal business name

CORNERSTONE FAMILY DENTISTRY

Practice address

1470 SW Knoll Ave
Suite #103
Bend, OR 97702

Phone

(541) 389-2885

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yolimar Conahuate Di Giulio, DMD

Title

Dentist/Owner

Phone

(541) 389-2885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1295092054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE #103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-2885",
            "fax_number": "541-389-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE #103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "DI GIULIO",
        "authorized_official_first_name": "YOLIMAR",
        "authorized_official_middle_name": "CONAHUATE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "541-389-2885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corconcepts Counseling & Enrichment Center
• Colleen Cordis
• Core Foundations Counseling, LLC
• Core Physical Therapy and Spine LLC
• Staci Ann Corgan, COTA
• Carli D. Corpus
• Kailee C Corpus, LMT
• Lisa Diane Corrigan, PT
• William J Corrigan, PA-C
• John L Corso, M.D.

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.