Individual provider Active NPI

Joe Dee Cunningham, H.A.D.

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1255365748
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HA2856 Issued in CA
Practice address
353 S Palm Canyon Dr Ste a
Palm Springs, CA 92262-7332
Phone
(760) 325-3240
Fax
(760) 325-4180
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HA2856 CA Primary

Addresses

Primary practice location

353 S Palm Canyon Dr Ste a
Palm Springs, CA 92262-7332

Mailing address

353 S Palm Canyon Dr
Ste a
Palm Springs, CA 92262-7332
Phone (760) 325-3240

Other identifiers 1

IdentifierTypeStateIssuer
HA0028560MedicaidCA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA2856CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255365748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 S PALM CANYON DR",
            "address_2": "STE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627332",
            "telephone_number": "760-325-3240",
            "fax_number": "760-325-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 S PALM CANYON DR STE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627332",
            "telephone_number": "760-325-3240",
            "fax_number": "760-325-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JOE",
        "middle_name": "DEE",
        "name_prefix": "Mr.",
        "credential": "H.A.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "HA2856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0028560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.