Annelies Sophia Cornish, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019834 Issued in MI

Practice address

830 W Clark Rd
Ypsilanti, MI 48198-3403

Phone

(734) 646-0419

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dexter Dental Studio PLLC

  • Dentist
  • Dexter, MI
  • NPI 1508131160
  NPD Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1376702472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046145",
            "telephone_number": "734-662-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983403",
            "telephone_number": "734-646-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "ANNELIES",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Levely Corcoran, MD
• Matthew Cordy, LPC
• Corner Health Center (The Corner Health Center)
• Corner Health Center (The Corner Health Center)
• Cornerstone Care LLC
• Paul M Corsello, M.D.
• Priscilla C Cortez, LMSW
• Molly Cory
• Eric Eugene Paul Cosky, M.D. / M.SCI.
• David Costello, PT

• Dentist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.