Active NPI
Cynthia B Dunham, MD
- Nephrology Physician
- Greensboro, NC
National Provider Identifier
1821038498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 32104
- Practice address
- 309 New Street
Greensboro, NC 27405 - Phone
- (336) 379-9708
- Fax
- (336) 379-8714
- NPI assigned
- Jun 8, 2006
- Last updated
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 32104 | NC | Primary |
Addresses
Primary practice location
309 New Street
Greensboro, NC 27405
Mailing address
309 New St
Greensboro, NC 27405-3654
Phone (336) 379-9708
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561274347 | Other | NC | CKA'S TAX ID # |
| 2490 | Other | NC | PARTNERS |
| 29392 | Other | NC | BCBS PROVIDER # |
| 8929392 | Medicaid | NC | |
| 390004561 | Other | NC | RRM PROVIDER # |
| 3100767 | Other | NC | UHC PROVIDER # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- cynthiadunham@cka.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1821038498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 NEW ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053654",
"telephone_number": "336-379-9708",
"fax_number": "336-379-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 NEW STREET",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-379-9708",
"fax_number": "336-379-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "CYNTHIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "32104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CKA'S TAX ID #",
"identifier": "561274347",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "2490",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "29392",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8929392",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM PROVIDER #",
"identifier": "390004561",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER #",
"identifier": "3100767",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.