Active NPI
Cornerstone Periodontics, PLLC
Doing business as Cornerstone Periodontics & Implant Dentistry
- Periodontics
- Edinburg, TX
National Provider Identifier
1609394014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30153
- Legal business name
- CORNERSTONE PERIODONTICS, PLLC
- Doing business as
- Cornerstone Periodontics & Implant Dentistry
- Practice address
- 4620 S McColl Rd
Edinburg, TX 78539 - Phone
- (956) 317-0000
- Fax
- (956) 627-0668
- NPI assigned
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacy Beltran Jr.
- Title
- Doctor Owner
- Phone
- (956) 317-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 30153 | TX | Primary |
Addresses
Primary practice location
4620 S McColl Rd
Edinburg, TX 78539
Mailing address
4620 S McColl Rd
Edinburg, TX 78539
Phone (956) 317-0000
Other names 1
- Cornerstone Periodontics & Implant Dentistry
National Provider Directory
National Provider DirectoryLocations
4620 S McColl Rd
Edinburg, TX 78539
Phone (956) 317-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lincoln, NE
- NPI 1255747523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1609394014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-317-0000",
"fax_number": "956-627-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-317-0000",
"fax_number": "956-627-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE PERIODONTICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "DOCTOR OWNER",
"authorized_official_telephone_number": "956-317-0000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "30153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Periodontics & Implant Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edinburg, TX
- Maria Cordero
- Michelle Lynn Cordoba Kissee, M.D.
- Monica Cordova, D.D.S.
- Core Rehab PT LLC (Core Rehab PT)
- Cornerstone Cosmetic & Family Dentistry
- Cornerstone Pharmacy, LLC
- Cornerstone Regional Hospital, LP (Cornerstone Regional Hospital)
- Cornerstone Therapy Services PLLC
- Beatrice Cabrera Corona, APRN-CNP, RN
- Brandon Corona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.