NPIMap

Organization Active NPI

Cornerstone Pediatrics, P.C.

Doing business as Cornerstone Pediatrics

  • Primary Care Clinic/Center
  • Prescott Valley, AZ
National Provider Identifier
1679851455
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CORNERSTONE PEDIATRICS, P.C.
Doing business as
Cornerstone Pediatrics
Practice address
7875 E Florentine Rd
Suite a
Prescott Valley, AZ 86314-2284
Phone
(928) 443-5599
Fax
(928) 443-5376
NPI assigned
Jul 28, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Dr. Shelly Fay Klein, MDNPI 1659449411
Title
Owner/MD
Phone
(928) 443-5599

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

7875 E Florentine Rd
Suite a
Prescott Valley, AZ 86314-2284

Mailing address

7875 E Florentine Rd
Suite a
Prescott Valley, AZ 86314-2284
Phone (928) 443-5599

Other names 1

  • Cornerstone Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

7875 E Florentine Rd
Ste A
Prescott Valley, AZ 86314
Phone (928) 443-5599

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1679851455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 E FLORENTINE RD",
            "address_2": "SUITE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142284",
            "telephone_number": "928-443-5599",
            "fax_number": "928-443-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 E FLORENTINE RD",
            "address_2": "SUITE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142284",
            "telephone_number": "928-443-5599",
            "fax_number": "928-443-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "928-443-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.