NPIMap

Organization Active NPI

C, Graf Cornish DDS PC

Doing business as Distintively Designed Smiles

  • General Practice Dentistry
  • Castle Rock, CO
National Provider Identifier
1467466474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2928 Issued in CO
Legal business name
C, GRAF CORNISH DDS PC
Doing business as
Distintively Designed Smiles
Practice address
1189 S Perry St
Suite 250
Castle Rock, CO 80104-1958
Phone
(303) 688-6698
Fax
(303) 688-3846
NPI assigned
Jul 27, 2006
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
Dr. C Graf Cornish, DDSNPI 1841204039
Title
President
Phone
(303) 688-3398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2928 CO Primary

Addresses

Primary practice location

1189 S Perry St
Suite 250
Castle Rock, CO 80104-1958

Mailing address

1189 S Perry St
Suite 250
Castle Rock, CO 80104-1958
Phone (303) 688-6698

Other names 1

  • Distintively Designed Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1189 S Perry St
Ste 250
Castle Rock, CO 80104
Phone (303) 688-3398

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467466474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 S PERRY ST",
            "address_2": "SUITE 250",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041958",
            "telephone_number": "303-688-6698",
            "fax_number": "303-688-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S PERRY ST",
            "address_2": "SUITE 250",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041958",
            "telephone_number": "303-688-6698",
            "fax_number": "303-688-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C, GRAF CORNISH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "GRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-688-3398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distintively Designed Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

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.