NPIMap

Organization Active NPI

Cornerstone Kids Dental

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1790053247
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
24983 Issued in TX
Legal business name
CORNERSTONE KIDS DENTAL
Practice address
14721 Pebble Bend Dr
Suite B
Houston, TX 77068-2929
Phone
(281) 444-3999
Fax
(281) 444-8079
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Lisa M Trevino, DDSNPI 1881918753
Title
Pediatric Dentist
Phone
(281) 444-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 24983 TX Primary

Addresses

Primary practice location

14721 Pebble Bend Dr
Suite B
Houston, TX 77068-2929

Mailing address

14721 Pebble Bend Dr
Suite B
Houston, TX 77068-2929
Phone (281) 444-3999

National Provider Directory

National Provider Directory

Locations

14721 Pebble Bend Dr
Ste B
Houston, TX 77068
Phone (281) 444-3999

Practitioners & affiliated clinicians

Practitioners 1

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1790053247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14721 PEBBLE BEND DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682929",
            "telephone_number": "281-444-3999",
            "fax_number": "281-444-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14721 PEBBLE BEND DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682929",
            "telephone_number": "281-444-3999",
            "fax_number": "281-444-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE KIDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "281-444-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "24983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.