NPIMap

Organization Active NPI

Cornerstone Dental Care Inc

Doing business as Cornerstone Dental Care

  • General Practice Dentistry
  • Rialto, CA
National Provider Identifier
1407273030
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47505 Issued in CA
Legal business name
CORNERSTONE DENTAL CARE INC
Doing business as
Cornerstone Dental Care
Practice address
2836 W Rialto Ave
# A
Rialto, CA 92376-6816
Phone
(909) 820-9454
Fax
(909) 820-9482
NPI assigned
Mar 20, 2014
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Henry Sang Kwon, D.D.S.NPI 1982816542
Title
President
Phone
(909) 820-9454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47505 CA Primary

Addresses

Primary practice location

2836 W Rialto Ave
# A
Rialto, CA 92376-6816

Mailing address

2836 W Rialto Ave
# A
Rialto, CA 92376-6816
Phone (909) 820-9454

Other names 1

  • Cornerstone Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1407273030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 W RIALTO AVE",
            "address_2": "# A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766816",
            "telephone_number": "909-820-9454",
            "fax_number": "909-820-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W RIALTO AVE",
            "address_2": "# A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766816",
            "telephone_number": "909-820-9454",
            "fax_number": "909-820-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "SANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-820-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.