Organization Active NPI

Frank a. Cornella DDS, MD PC

Doing business as Oral Surgery of Springfield

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, MO
National Provider Identifier
1881033926
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
FRANK A. CORNELLA DDS, MD PC
Doing business as
Oral Surgery of Springfield
Practice address
3237 E Sunshine St Ste B
Springfield, MO 65804-6919
Phone
(417) 881-4546
Fax
(417) 883-0443
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Frank A Cornella, DDS,MDNPI 1356322838
Title
Owner
Phone
(417) 881-4546

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

3237 E Sunshine St Ste B
Springfield, MO 65804-6919

Mailing address

3237 E Sunshine St Ste B
Springfield, MO 65804-6919
Phone (417) 881-4546

Other names 1

  • Oral Surgery of Springfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000310 MO Part B Supplier - Clinic/Group Practice 7214955426 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

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": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1881033926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 E SUNSHINE ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046919",
            "telephone_number": "417-881-4546",
            "fax_number": "417-883-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 E SUNSHINE ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046919",
            "telephone_number": "417-881-4546",
            "fax_number": "417-883-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A. CORNELLA DDS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "CORNELLA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-881-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery of Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.