Organization Active NPI

Cornerstone Foot and Ankle Inc

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1356694053
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003316 Issued in OH
Legal business name
CORNERSTONE FOOT AND ANKLE INC
Practice address
15 Southmoor Cir NE
Dayton, OH 45429-2451
Phone
(937) 293-6896
Fax
(937) 293-9150
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Brian A Kuvshinikov, DPM
Title
DPM
Phone
(937) 293-6896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36003316 OH Primary

Addresses

Primary practice location

15 Southmoor Cir NE
Dayton, OH 45429-2451

Mailing address

15 Southmoor Cir NE
Dayton, OH 45429-2451
Phone (937) 293-6896

Other identifiers 1

IdentifierTypeStateIssuer
0074325MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1356694053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR CIR NE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292451",
            "telephone_number": "937-293-6896",
            "fax_number": "937-293-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR CIR NE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292451",
            "telephone_number": "937-293-6896",
            "fax_number": "937-293-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "KUVSHINIKOV",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "937-293-6896",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.