Individual provider Active NPI

David Lane Cunningham, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1689642894
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101265333 Issued in VA
Practice address
10507 Oak PL
Fairfax, VA 22030-2813
Phone
(571) 732-7743
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301059911 MI
Family Medicine Physician 207Q00000X 0101265333 VA Primary

Addresses

Primary practice location

10507 Oak PL
Fairfax, VA 22030-2813

Mailing address

10507 Oak PL
Fairfax, VA 22030-2813
Phone (571) 732-7743

Other practice location 1

221 3rd St W
Bldg 1040
Randolph A F B, TX 78150-4800
Phone (210) 652-8544

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301059911MIMDFamily Medicine Physician
0101265333VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1689642894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 OAK PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302813",
            "telephone_number": "571-732-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 OAK PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302813",
            "telephone_number": "571-732-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 3rd St W",
            "address_2": "Bldg 1040",
            "address_purpose": "LOCATION",
            "city": "Randolph A F B",
            "state": "TX",
            "postal_code": "781504800",
            "country_code": "US",
            "telephone_number": "210-652-8544",
            "fax_number": "210-652-9836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DAVID",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301059911",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101265333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.