Individual provider Active NPI

Jarrod Craig Cornehl, D.D.S.

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1619975117
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28948 Issued in FL
Practice address
2800 Troubadour St
West Palm Beach, FL 33406-3607
Phone
(415) 746-0746
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52365 CA
General Practice Dentistry 1223G0001X DN28948 FL Primary
General Practice Dentistry 1223G0001X 20982 TX

Addresses

Primary practice location

2800 Troubadour St
West Palm Beach, FL 33406-3607

Mailing address

2800 Troubadour St
West Palm Beach, FL 33406-3607
Phone (415) 746-0746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52365CAMDGeneral Practice Dentistry
DN28948FLMDGeneral Practice Dentistry
20982TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jarrod C. Cornehl, DDS, PC General Practice CurrentSince Jan 26, 2022 Accepting new patients
Ivan a. Serdar, DMD, Inc. General Practice Past Accepting new patients

Locations

260 Stockton St
Fl 4
San Francisco, CA 94108
Phone (415) 392-5025

260 Stockton St
Fl 2
San Francisco, CA 94108
Phone (415) 397-1030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1619975117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TROUBADOUR ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334063607",
            "telephone_number": "415-746-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TROUBADOUR ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334063607",
            "telephone_number": "415-746-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEHL",
        "first_name": "JARROD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28948",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.