Rondall Cornwell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3476 Issued in OK

Practice address

788 N Santa Fe Ave Ste 100
Edmond, OK 73003-4300

Phone

(405) 330-2400

Fax

(405) 330-2401

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornwell Clinic

  • Chiropractor
  • Edmond, OK
  • NPI 1598947483
  Medicare reassignment NPD Authorized official
• Carter Professional Care, Corp

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1932299286
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1932259199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 N SANTA FE AVE STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034300",
            "telephone_number": "405-330-2400",
            "fax_number": "405-330-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 N SANTA FE AVE STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034300",
            "telephone_number": "405-330-2400",
            "fax_number": "405-330-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "RONDALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cornwellclinic@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "788 N Santa Fe Ave Ste 100",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730034300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Core Transit Inc.
• Cornerstone Behavioral Health and Pediatric Therapies
• Cornerstone Caregiving East LLC
• Parker Cornett, ATC
• Cornwell Clinic
• Sharon Corriveau
• Dana S Cortez, P.A.-C
• Kanoelani Costalez
• Shannon Laree Cotter, OTR
• Cottonwood Counseling, LLC

• All providers in Edmond, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.