Active NPI
Robert Alexander Cunningham Jr., ATC/L
- Specialist
- Spencer, IA
National Provider Identifier
1861851065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00301
- Practice address
- 1200 1St Ave E Ste C
Spencer, IA 51301-4342 - Phone
- (712) 262-7511
- NPI assigned
- Feb 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 00301 | IA | Primary |
Addresses
Primary practice location
1200 1St Ave E Ste C
Spencer, IA 51301-4342
Mailing address
1514 W 14TH St
Spencer, IA 51301-2864
Phone (563) 370-8338
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00301 | IA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1861851065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 W 14TH ST",
"city": "SPENCER",
"state": "IA",
"postal_code": "513012864",
"telephone_number": "563-370-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST AVE E STE C",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014342",
"telephone_number": "712-262-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "ROBERT",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IA",
"license": "00301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.