Cornerstonemd,PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

Q3590 Issued in TX

Legal business name

CORNERSTONEMD,PLLC

Practice address

12222 N Central Expy Ste 140
Dallas, TX 75243

Phone

(469) 801-8480

Fax

(214) 575-8480

NPI assigned

Jul 8, 2018

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Kenia Ross Riley, MDNPI 1184882276

Title

Managing Member

Phone

(469) 801-8480

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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.

• Carolyn Kenia Ross Riley, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1184882276
  NPD Authorized official

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1295221786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "469-801-8480",
            "fax_number": "214-575-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "469-801-8480",
            "fax_number": "214-575-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONEMD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "KENIA ROSS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-801-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "Q3590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184882276",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://txazhfw9w24btd5xb3app.ecwcloud.com/",
            "affiliation": "N",
            "address_1": "12222 N Central Expy Ste 140",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maura Kathleen Cornell, LPC
• Jessica Bridget Corners, MD
• Cornerstone Clinic, Inc.
• Cornerstone Mental Health LLC
• Cornerstone Wound LLC
• Stevie Cornett
• Lauryn Cornish
• Teandra Lamesa Cornish, D.C.
• Kathryn Marie Cornwall
• Connie Sue Cornwell, MA, LPC, LMFT

• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.