Organization Active NPI

Robert L Cunningham DDS PLLC

  • Dentist
  • Ketchum, ID
National Provider Identifier
1306037007
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3298 Issued in ID
Legal business name
ROBERT L CUNNINGHAM DDS PLLC
Practice address
120 Second Ave
Suite 202
Ketchum, ID 83340
Phone
(208) 726-3457
Fax
(208) 726-3494
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Robert L Cunningham, DDS
Title
Doctor Dentists
Phone
(208) 726-3457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D3298 ID Primary

Addresses

Primary practice location

120 Second Ave
Suite 202
Ketchum, ID 83340

Mailing address

PO Box 419
Ketchum, ID 83340-0419
Phone (208) 726-3457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1306037007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400419",
            "telephone_number": "208-726-3457",
            "fax_number": "208-726-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SECOND AVE",
            "address_2": "SUITE 202",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-726-3457",
            "fax_number": "208-726-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L CUNNINGHAM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR DENTISTS",
        "authorized_official_telephone_number": "208-726-3457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.