Active NPI
Cheri Caroline Cunningham, M.D
- Dermatology Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E-13291
- Practice address
- 901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473 - Phone
- (479) 273-3376
- Fax
- (479) 273-3468
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E-13291 | AR | Primary |
Addresses
Primary practice location
901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Mailing address
606 W Central Ave
Bentonville, AR 72712-5122
Phone (417) 224-7774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 SE Plaza Ave
Suite 5
Bentonville, AR 72712-5473
Phone (479) 876-8550
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 203 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology Services PLLC | Dermatology | Current | Accepting new patients |
| True Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Premier Dermatology & Skin Renewal Center | Dermatology | Past | Accepting new patients |
Locations
14 Riordan Rd
Bella Vista, AR 72714
Phone (479) 876-8550
901 SE Plaza Ave
Ste 5
Bentonville, AR 72712
Phone (479) 273-3376
1651 E Stearns St
Ste 110
Fayetteville, AR 72703
Phone (479) 273-3376
Interoperability endpoints
- ccunningham@truedermatology.emadirect.md
Organizations & group practices 3
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.
-
dba Premier Dermatology & Aesthetics
- Dermatology Physician
- Bentonville, AR
- NPI 1154117463
-
- Dermatology Physician
- Fayetteville, AR
- NPI 1386022283
-
- Clinical & Laboratory Dermatological Immunology Physician
- Bentonville, AR
- NPI 1912912361
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1326492869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 W CENTRAL AVE",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125122",
"telephone_number": "417-224-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SE PLAZA AVE STE 5",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125473",
"telephone_number": "479-273-3376",
"fax_number": "479-273-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CHERI",
"middle_name": "CAROLINE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AR",
"license": "E-13291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.