Cornerstone Kids Dental

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

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Trevino, DDS

Title

Pediatric Dentist

Phone

(281) 444-3999

Specialties & licenses 1

Addresses

Locations

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": []
}

• Cornerstone Community Living Inc.
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• Cornerstone Integrated Therapy
• Cornerstone Integrative Counseling LLC
• Cornerstone Onsite, LLC
• Cornerstone Pathways
• Cornerstone Pathways
• Cornerstone Professional Team Inc
• Cornerstone Psychiatry Associates, P.a.

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• 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.