Individual provider Active NPI

Teresa Clements Cunningham, M.D.

  • Plastic Surgery Physician
  • Golden, CO
National Provider Identifier
1134481260
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0060367 Issued in CO
Practice address
725 Heritage Rd Ste 100
Golden, CO 80401-3673
Phone
(720) 613-2357
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0060367 CO Primary
Plastic Surgery Physician 208200000X DR.0060367 CO

Addresses

Primary practice location

725 Heritage Rd Ste 100
Golden, CO 80401-3673

Mailing address

725 Heritage Rd Ste 100
Golden, CO 80401-3673
Phone (720) 613-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0060367COMDPlastic Surgery Physician
DR.0060367COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cosmetic Surgery PC Plastic Surgery CurrentSince Nov 19, 2023 Accepting new patients

Locations

725 Heritage Rd
Ste 100
Golden, CO 80401
Phone (303) 278-2600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1134481260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HERITAGE RD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013673",
            "telephone_number": "720-613-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HERITAGE RD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013673",
            "telephone_number": "720-613-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TERESA",
        "middle_name": "CLEMENTS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "0060367",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR.0060367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.