Organization Active NPI

Victoria Cunnea, DC, PLLC

Doing business as Optimum Potential Chiropractic

  • Health Service Clinic/Center
  • Clemmons, NC
National Provider Identifier
1386420859
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VICTORIA CUNNEA, DC, PLLC
Doing business as
Optimum Potential Chiropractic
Practice address
3540 Clemmons Rd Ste 122
Clemmons, NC 27012-9396
Phone
(336) 422-7255
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Victoria Cunnea, DCNPI 1124499827
Title
President
Phone
(336) 422-7255

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

3540 Clemmons Rd Ste 122
Clemmons, NC 27012-9396

Mailing address

3540 Clemmons Rd Ste 122
Clemmons, NC 27012-9396
Phone (336) 422-7255

Other names 1

  • Optimum Potential Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318000810 NC Part B Supplier - Clinic/Group Practice 6709360787 Receives reassigned benefits from 1 practitioner
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Locations

3540 Clemmons Rd
Ste 122
Clemmons, NC 27012
Phone (336) 422-7255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1386420859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CLEMMONS RD STE 122",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129396",
            "telephone_number": "336-422-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 CLEMMONS RD STE 122",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129396",
            "telephone_number": "336-422-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA CUNNEA, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "CUNNEA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-422-7255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Potential Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.