Organization Active NPI

Cornerstone Periodontics, PLLC

Doing business as Cornerstone Periodontics & Implant Dentistry

  • Periodontics
  • Edinburg, TX
National Provider Identifier
1609394014
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30153 Issued in TX
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

Updated by the provider on Aug 10, 2026

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)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.