Cornerstone Dental of Polk City LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORNERSTONE DENTAL OF POLK CITY LLC

Practice address

1010 S 3Rd St Ste 2a
Polk City, IA 50226-1181

Phone

(515) 984-6001

Fax

(515) 984-6707

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Hussong, DDS

Title

Owner

Phone

(515) 984-6001

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Dental Doing business as

Locations

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1720400773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST STE 2A",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261181",
            "telephone_number": "515-984-6001",
            "fax_number": "515-984-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST STE 2A",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261181",
            "telephone_number": "515-984-6001",
            "fax_number": "515-984-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL OF POLK CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "HUSSONG",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-984-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Lee Carlson, APRN, ACNS-BC
• Centers for Long Term Care of Iowa
• City of Polk City
• Cornerstone Dental Group LLC
• Cornerstone Dental of Iowa,LLC
• Cornerstone Dental Staffing LLC
• Kristin Marie Davis, ARNP
• Judith Detmering, R.N.
• Discovery Children'S Learning Center and Preschool Inc
• Douglas a Layton DO

• Dental Clinic/Center in Polk City, IA
• Providers in Polk City, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.