Individual provider Active NPI

Mia Cunningham, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1215304803
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14506 Issued in TX
Practice address
5151 Maple Ave
Dallas, TX 75235-8136
Phone
(214) 590-6323
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009518 GA
Chiropractor 111N00000X 14506 TX Primary

Addresses

Primary practice location

5151 Maple Ave
Dallas, TX 75235-8136

Mailing address

5151 Maple Ave
Dallas, TX 75235-8136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701000389 TX Practitioner - Chiropractic 2466791082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14506TXMDClinical Social Worker
CHIR009518GAMDChiropractor
4603NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Current Accepting new patients
Dallas County Hospital District CurrentSince Jun 24, 2024 Accepting new patients
Dallas County Hospital District Chiropractor CurrentSince Jun 24, 2024 Accepting new patients
Dynamic Health Carolinas, PLLC CurrentSince May 5, 2021 Accepting new patients
Dallas County Hospital District Past Accepting new patients

Locations

4705 South Blvd
Charlotte, NC 28217
Phone (704) 525-6288

5151 Maple Ave
Ste 4A
Dallas, TX 75235
Phone (214) 590-2800

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

5151 Maple Ave
#4A
Dallas, TX 75235
Phone (214) 590-2800

Organizations & group practices 5

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1215304803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAPLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAPLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358136",
            "telephone_number": "214-590-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009518",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.