NPIMap

Organization Active NPI

Cornerstone Periodontics and Implants PLLC

  • Periodontics
  • Concord, NH
National Provider Identifier
1457426686
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3289 Issued in NH
Legal business name
CORNERSTONE PERIODONTICS AND IMPLANTS PLLC
Practice address
153 Manchester St
Suite 5
Concord, NH 03301
Phone
(603) 224-9474
Fax
(603) 224-9232
NPI assigned
Nov 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Austin H WangNPI 1740339605
Title
Periodontist Owner
Phone
(603) 224-9474

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 3289 NH Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 3290 NH

Addresses

Primary practice location

153 Manchester St
Suite 5
Concord, NH 03301

Mailing address

153 Manchester St
Suite 5
Concord, NH 03301
Phone (603) 224-9474

National Provider Directory

National Provider Directory

Locations

153 Manchester St
Ste 5
Concord, NH 03301
Phone (603) 224-9474

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457426686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "address_2": "SUITE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-9474",
            "fax_number": "603-224-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "address_2": "SUITE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-9474",
            "fax_number": "603-224-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PERIODONTICS AND IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PERIODONTIST OWNER",
        "authorized_official_telephone_number": "603-224-9474"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "3289",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "3290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.