Active NPI
Cary James Cunningham, DDS
- Endodontics
- Medford, OR
National Provider Identifier
1396983169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D8065
- Practice address
- 2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194 - Phone
- (541) 779-3324
- NPI assigned
- Jan 31, 2009
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D8065 | OR | Primary |
Addresses
Primary practice location
2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194
Mailing address
2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194
Phone (541) 664-2477
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 |
|---|---|---|---|
| D8065 | OR | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Endodontics, PC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Medford, OR
- NPI 1922160589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233360000000",
"number": "1396983169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 SISKIYOU BLVD",
"address_2": "SUITE 204",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048194",
"telephone_number": "541-664-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 SISKIYOU BLVD",
"address_2": "SUITE 204",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048194",
"telephone_number": "541-779-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CARY",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-31",
"last_updated": "2009-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "D8065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.