Individual provider Active NPI

Michael Francis Cuenin, DMD

  • Periodontics
  • Mount Pleasant, SC
National Provider Identifier
1043277684
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
759 Issued in SC
Practice address
682 Johnnie Dodds Blvd.
Suite 102
Mount Pleasant, SC 29464
Phone
(843) 849-9044
Fax
(843) 849-7493
NPI assigned
Apr 27, 2006
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 759 SC Primary

Addresses

Primary practice location

682 Johnnie Dodds Blvd.
Suite 102
Mount Pleasant, SC 29464

Mailing address

682 Johnnie Dodds Blvd.
Suite 102
Mount Pleasant, SC 29464
Phone (843) 849-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218000261 SC Practitioner - Oral Surgery 8921231879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7006SCMDProfessional Counselor
759SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1043277684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 JOHNNIE DODDS BLVD.",
            "address_2": "SUITE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-849-9044",
            "fax_number": "843-849-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 JOHNNIE DODDS BLVD.",
            "address_2": "SUITE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-849-9044",
            "fax_number": "843-849-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUENIN",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.