Individual provider Active NPI

Dorothy J. Cunningham, MD

  • Dermatology Physician
  • Brookline, MA
National Provider Identifier
1437258928
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
82037 Issued in MA
Practice address
651 Washington St
Suite 110
Brookline, MA 02446-4517
Phone
(617) 734-1707
Fax
(617) 734-1709
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 82037 MA Primary

Addresses

Primary practice location

651 Washington St
Suite 110
Brookline, MA 02446-4517

Mailing address

651 Washington St
Suite 110
Brookline, MA 02446-4517
Phone (617) 734-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000371 MA Practitioner - Dermatology 5496707184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82037MAMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: dcunningham@washingtonsquare.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1437258928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464517",
            "telephone_number": "617-734-1707",
            "fax_number": "617-734-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464517",
            "telephone_number": "617-734-1707",
            "fax_number": "617-734-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DOROTHY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "82037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.