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MR. DAVID QUINLIN CORNWELL
NPI 1487266201
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 21, 2020PECOS Enrolled
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8428 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. David Quinlin Cornwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID QUINLIN CORNWELL (NPI 1487266201) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487266201
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DAVID QUINLIN CORNWELL
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-8428
Phone(503) 494-8428
Sole ProprietorNo
Enumeration DateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
✔ NPI 1487266201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2730 S MOODY AVE, Portland, OR 97201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Quinlin Cornwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR COLLAZO VIDALES JR.
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-0843
ANDREW HAN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
NATASHA SUE MCKIBBEN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
YELA CAREY
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
JAMIE LYNN PARKER BS, RDH
Dental Hygienist
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-4316
MRS. KALLEE ALENNA DALTON RDH
Dental Hygienist
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-4316
DR. JEFFERY RAWLEY DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8867
DR. CHING-YUN HSU B.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Cornwell's NPI number?

The NPI number for David Cornwell is 1487266201. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is David Cornwell located?

David Cornwell practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8428.

What is David Cornwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Cornwell enrolled in Medicare?

Yes. David Cornwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Cornwell was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.