Organization Active NPI

Cunningham Dental Inc

  • Dental Clinic/Center
  • Erwin, TN
National Provider Identifier
1659895068
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7771 Issued in TN
Legal business name
CUNNINGHAM DENTAL INC
Practice address
510 N Main Ave
Erwin, TN 37650-1393
Phone
(423) 743-9133
Fax
(423) 743-9133
NPI assigned
Jul 27, 2017
Last updated
Jul 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Dr. Jason Edgar Cunningham, DDSNPI 1336205657
Title
President
Phone
(423) 743-9133

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
Dental Clinic/Center 261QD0000X 7771 TN Primary

Addresses

Primary practice location

510 N Main Ave
Erwin, TN 37650-1393

Mailing address

510 N Main Ave
Erwin, TN 37650-1393
Phone (423) 743-9133

National Provider Directory

National Provider Directory

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1659895068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501393",
            "telephone_number": "423-743-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501393",
            "telephone_number": "423-743-9133",
            "fax_number": "423-743-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-743-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.