Organization Active NPI

Dorman Bend LP

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1801035191
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DORMAN BEND LP
Practice address
115 Sundance Pkwy Ste 340
Round Rock, TX 78681-7840
Phone
(512) 248-9592
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. James Bryce Cunningham, D.C.NPI 1902803992
Title
Owner
Phone
(512) 248-9592

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

115 Sundance Pkwy Ste 340
Round Rock, TX 78681-7840

Mailing address

115 Sundance Pkwy Ste 340
Round Rock, TX 78681-7840
Phone (512) 248-9592

Other identifiers 1

IdentifierTypeStateIssuer
0059MCOtherTXBC BS OF TEXAS

Other names 1

  • Cunningham Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000632 TX Part B Supplier - Clinic/Group Practice 7517129760 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory
Tax ID family
Cunningham Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Sundance Pkwy
Ste 340
Round Rock, TX 78681
Phone (512) 248-9592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1801035191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUNDANCE PKWY STE 340",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817840",
            "telephone_number": "512-248-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUNDANCE PKWY STE 340",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817840",
            "telephone_number": "512-248-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMAN BEND LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-248-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TEXAS",
            "identifier": "0059MC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cunningham Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.