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MR. PHILIP PETER CORNELIUSON DDS
NPI 1699018671
Dentist in Fresno, CA

Active since March 28, 2013PECOS Enrolled
5475 N FRESNO ST STE 103, FRESNO, CA 93710(559) 261-0185(559) 261-2386 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Philip Peter Corneliuson Dds NPPES

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

MR. PHILIP PETER CORNELIUSON DDS (NPI 1699018671) is an individual dentist in Fresno, California, licensed in California (19857) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699018671
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. PHILIP PETER CORNELIUSONCredential: DDS
Location Address5475 N FRESNO ST STE 103Fresno, CA 93710-8333
Mailing Address5475 N Fresno St Ste 103Fresno, CA 93710-8333 · (559) 261-0185 · Fax (559) 261-2386
Phone(559) 261-0185
Fax(559) 261-2386
Sole ProprietorYes
Enumeration DateMarch 28, 2013
✔ NPI 1699018671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 19857
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5475 N FRESNO ST STE 103, Fresno, CA 93710
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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. Philip Peter Corneliuson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Philip Corneliuson's NPI number?

The NPI number for Philip Corneliuson is 1699018671. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Philip Corneliuson located?

Philip Corneliuson practices at 5475 N Fresno St Ste 103, Fresno, CA 93710. The listed phone number is (559) 261-0185.

What is Philip Corneliuson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Philip Corneliuson enrolled in Medicare?

Yes. Philip Corneliuson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Corneliuson was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.