Individual provider Active NPI

Edward Cunningham

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1235317173
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01826 Issued in NV
Practice address
9017 S Pecos Rd Ste 4555
Henderson, NV 89074-6621
Phone
(310) 212-7006
Fax
(310) 212-7006
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01826 NV Primary
Chiropractor 111N00000X 29699 CA

Addresses

Primary practice location

9017 S Pecos Rd Ste 4555
Henderson, NV 89074-6621

Mailing address

9017 S Pecos Rd Ste 4555
Henderson, NV 89074-6621
Phone (310) 212-7006

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

State licenses

LicenseStateTypeSpecialty
29699CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attivo Wellness, LLC Chiropractor CurrentSince Feb 8, 2023 Accepting new patients

Locations

5042 Wilshire Blvd
Los Angeles, CA 90036
Phone (213) 999-7770

1550 W Horizon Ridge Pkwy
#R612
Henderson, NV 89012
Phone (310) 212-7006

9017 S Pecos Rd
Ste 4555
Henderson, NV 89074
Phone (702) 277-6269

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1235317173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD STE 4555",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746621",
            "telephone_number": "310-212-7006",
            "fax_number": "310-212-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD STE 4555",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746621",
            "telephone_number": "310-212-7006",
            "fax_number": "310-212-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01826",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.