Individual provider Active NPI

Carly Cunningham

  • Chiropractor
  • McMurray, PA
National Provider Identifier
1073067476
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011177 Issued in PA
Practice address
3540 Washington Rd
MC Murray, PA 15317-2957
Phone
(724) 941-0707
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011177 PA Primary

Addresses

Primary practice location

3540 Washington Rd
MC Murray, PA 15317-2957

Mailing address

3943 Dalewood St
Pittsburgh, PA 15227-3423
Phone (412) 980-0647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170109001370 PA Practitioner - Chiropractic 8426339300 Reassigns benefits to 1 organization
I20241017002730 FL Practitioner - Chiropractic 8426339300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Duke ChiropracticGroup PAC ID 6002283769, 2 clinicians

Practice addresses (Care Compare)

3123 Southgate Cir
Sarasota, FL 34239-5515
Phone (941) 366-0203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC011177PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F. Arme, D.C., P.a. CurrentSince Aug 23, 2024 Accepting new patients
Duke Chiropractic Chiropractor CurrentSince Aug 23, 2024 Accepting new patients
Legacy Medical Centers LLC Chiropractor CurrentSince Oct 31, 2016 Accepting new patients

Locations

3123 Southgate Cir
Sarasota, FL 34239
Phone (941) 366-0203

3540 Washington Rd
McMurray, PA 15317
Phone (724) 941-0707

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1073067476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 DALEWOOD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273423",
            "telephone_number": "412-980-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "724-941-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.