Organization Active NPI

Cornerstone Oral & Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Westminster, MD
National Provider Identifier
1760633663
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
13760 Issued in MD
Legal business name
CORNERSTONE ORAL & MAXILLOFACIAL SURGERY, LLC
Practice address
1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098
Phone
(410) 982-0650
Fax
(410) 982-0655
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Jennifer N Forshey, DMD, MDNPI 1881614600
Title
Owner/Surgeon
Phone
(240) 529-8863

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 13760 MD Primary

Addresses

Primary practice location

1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098

Mailing address

1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098
Phone (410) 982-0650

National Provider Directory

National Provider Directory

Locations

1130 Baltimore Blvd
Unit C1
Westminster, MD 21157
Phone (410) 982-0650

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": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1760633663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BALTIMORE BLVD",
            "address_2": "UNIT C-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577098",
            "telephone_number": "410-982-0650",
            "fax_number": "410-982-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BALTIMORE BLVD",
            "address_2": "UNIT C-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577098",
            "telephone_number": "410-982-0650",
            "fax_number": "410-982-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "FORSHEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "240-529-8863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.