NPIMap

Organization Active NPI

Cornerstone Family Dentistry

  • General Practice Dentistry
  • Blue Ridge Summit, PA
National Provider Identifier
1386864544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-028207-L Issued in PA
Legal business name
CORNERSTONE FAMILY DENTISTRY
Practice address
14989 Buchanan Trail East
Blue Ridge Summit, PA 17214
Phone
(717) 794-5994
Fax
(717) 794-5458
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Zimmerman, DDS
Title
Co-Owner
Phone
(717) 794-5994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS-028207-L PA Primary

Addresses

Primary practice location

14989 Buchanan Trail East
Blue Ridge Summit, PA 17214

Mailing address

PO Box 621
Blue Ridge Summit, PA 17214-0621
Phone (717) 794-5994

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386864544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "172140621",
            "telephone_number": "717-794-5994",
            "fax_number": "717-794-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14989 BUCHANAN TRAIL EAST",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "17214",
            "telephone_number": "717-794-5994",
            "fax_number": "717-794-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "717-794-5994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-028207-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.