Active NPI
Jason Edgar Cunningham, D.D.S.
- General Practice Dentistry
- Erwin, TN
National Provider Identifier
1336205657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS7771
- Practice address
- 510 N Main Ave
Erwin, TN 37650-1393 - Phone
- (423) 743-9133
- Fax
- (423) 743-1928
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS7771 | TN | Primary |
Addresses
Primary practice location
510 N Main Ave
Erwin, TN 37650-1393
Mailing address
510 N Main Ave
Erwin, TN 37650-1393
Phone (423) 743-9133
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS7771 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cunningham Dental Inc | Current | Accepting new patients | |
| Angela R. Cameron, D.D.S.,P.C. | General Practice | Past | Accepting new patients |
Locations
510 N Main Ave
Erwin, TN 37650
Phone (423) 743-3128
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Erwin, TN
- NPI 1659895068
-
- General Practice Dentistry
- Johnson City, TN
- NPI 1043426380
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1336205657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501393",
"telephone_number": "423-743-9133",
"fax_number": "423-743-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501393",
"telephone_number": "423-743-9133",
"fax_number": "423-743-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JASON",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS7771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.