Organization Active NPI

Cunningham & Gazdeck DDS PLLC

  • Prosthodontics
  • Durham, NC
National Provider Identifier
1376256495
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
CUNNINGHAM & GAZDECK DDS PLLC
Practice address
3709 University Dr Ste D
Durham, NC 27707-6224
Phone
(919) 489-8661
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Robert Kyle Gazdeck, DDSNPI 1316323678
Title
President/ Owner
Phone
(919) 489-8661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

3709 University Dr Ste D
Durham, NC 27707-6224

Mailing address

3709 University Dr Ste D
Durham, NC 27707-6224
Phone (919) 489-8661

Other names 1

  • Durham Prosthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3709 University Dr
Ste D
Durham, NC 27707
Phone (919) 489-8661

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1376256495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 UNIVERSITY DR STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076224",
            "telephone_number": "919-489-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 UNIVERSITY DR STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076224",
            "telephone_number": "919-489-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM & GAZDECK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "GAZDECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "919-489-8661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.