Active NPI
Dustin Cunningham, DC
- Chiropractor
- Lagrange, IN
National Provider Identifier
1265183263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003275A
- Practice address
- 400 Union St
Lagrange, IN 46761-2286 - Phone
- (260) 499-4911
- NPI assigned
- Jan 12, 2022
- Last updated
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003275A | IN | Primary |
Addresses
Primary practice location
400 Union St
Lagrange, IN 46761-2286
Mailing address
209 Clark St
Kendallville, IN 46755-2262
Phone (260) 585-3871
Other practice location 1
209 Clark St
Kendallville, IN 46755-2262
Phone (260) 585-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
400 Union St
Lagrange, IN 46761-2286
Phone (260) 499-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08003275A | IN | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Lagrange, IN
- NPI 1407384084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1265183263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 CLARK ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467552262",
"telephone_number": "260-585-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNION ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467612286",
"telephone_number": "260-499-4911"
}
],
"practiceLocations": [
{
"address_1": "209 Clark St",
"address_purpose": "LOCATION",
"city": "Kendallville",
"state": "IN",
"postal_code": "467552262",
"country_code": "US",
"telephone_number": "260-585-3871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003275A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.