David C Cangcuesta, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101036702 Issued in VA

Practice address

930 South Ave Ste 4B
Colonial Heights, VA 23834-3620

Phone

(804) 504-0530

Fax

(804) 504-0532

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southside Head N Neck Surgery Professional Corp

  • Otolaryngology Physician
  • Colonial Heights, VA
  • NPI 1194803338
  NPD Authorized official

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1194786251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE STE 4B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343620",
            "telephone_number": "804-504-0530",
            "fax_number": "804-504-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE STE 4B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343620",
            "telephone_number": "804-504-0530",
            "fax_number": "804-504-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGCUESTA",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101036702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040009007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILRAOD",
            "identifier": "040009006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kate Burke
• Matthew G Burress, PT
• C & Z Creative Zen, LLC
• Cab King Inc
• Caldwell Pediatrics and Wellness Center PC
• Damon Cannady, REGISTERED OPTICIAN
• Cardiology Associates of Central Virginia, PC
• Care Advantage, Inc.
• Care Diabetes and Endocrinology
• Careone

• Specialist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.