Active NPI
Sandra K Cunningham, DC
- Chiropractor
- White Hall, WV
National Provider Identifier
1215131149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 739
- Legal business name
- SANDRA K CUNNINGHAM, DC
- Practice address
- 158 Middletown Rd.
White Hall, WV 26554-8106 - Phone
- (304) 363-4343
- Fax
- (304) 367-9802
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Lynn Thompson
- Title
- Billing Coordinator
- Phone
- (304) 363-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 739 | WV | Primary |
Addresses
Primary practice location
158 Middletown Rd.
White Hall, WV 26554-8106
Mailing address
158 Middletown Rd.
White Hall, WV 26554-8106
Phone (304) 363-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202018000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
158 Middletown Rd
White Hall, WV 26554
Phone (304) 363-4343
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- White Hall, WV
- NPI 1912902065
-
- Chiropractor
- Bridgeport, WV
- NPI 1033392931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1215131149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 MIDDLETOWN RD.",
"city": "WHITE HALL",
"state": "WV",
"postal_code": "265548106",
"telephone_number": "304-363-4343",
"fax_number": "304-367-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 MIDDLETOWN RD.",
"city": "WHITE HALL",
"state": "WV",
"postal_code": "265548106",
"telephone_number": "304-363-4343",
"fax_number": "304-367-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA K CUNNINGHAM, DC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "304-363-4343",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202018000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Hall, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.