Brent Cornelius, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19334 Issued in TX

Practice address

1674 Keller Pkwy
Ste 180
Keller, TX 76248-3751

Phone

(817) 431-4200

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brent Cornelius DDS PA

  • General Practice Dentistry
  • Keller, TX
  • NPI 1891713863
  NPD Authorized official
• Sky Creek Dental

  • Dental Clinic/Center
  • Keller, TX
  • NPI 1881346211
  NPD Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1720249402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "STE 180",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "STE 180",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751",
            "telephone_number": "817-431-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "BRENT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Corder, MS, LAT, ATC
• Core Chiropractic and Physical Therapy
• Core Physical Therapy Keller
• Jay A Corley, DDS
• Allison Renee Cornelius
• James Jason Cornelius, LPC
• Jiny Elizabeth Coronado, MD
• Whitney Renee Costello, PT, DPT
• Ann Cowdrey
• Milla L Cragan

• General Practice Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.