Individual provider Active NPI

Melinda Elizabeth Cunningham, DDS

  • Pediatric Dentistry
  • Fayetteville, NC
National Provider Identifier
1437636826
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11152 Issued in NC
Practice address
2029 Valleygate Dr
Fayetteville, NC 28304
Phone
(910) 485-8884
NPI assigned
Jul 27, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11152 NC Primary

Addresses

Primary practice location

2029 Valleygate Dr
Fayetteville, NC 28304

Mailing address

4429 Fairview Ridge LN
Apex, NC 27539-6892
Phone (919) 414-2761

Other practice location 1

1000 Crescent Grn Ste 200
Cary, NC 27518-8117
Phone (919) 336-5694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304002601 NC Practitioner - Dentist 5294162194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11152NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan, James, Wiles, Patel & Olsen LLP CurrentSince Jun 8, 2025 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Jun 8, 2025 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Oct 6, 2019 Accepting new patients

Locations

2029 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 485-8884

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1437636826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 FAIRVIEW RIDGE LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275396892",
            "telephone_number": "919-414-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-485-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Crescent Grn Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188117",
            "country_code": "US",
            "telephone_number": "919-336-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MELINDA",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.