Individual provider Active NPI

Nina Maria Karin Cunningham, D.M.D.

  • Periodontics
  • Fort Lauderdale, FL
National Provider Identifier
1861870917
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN20076 Issued in FL
Practice address
1040 Seminole Dr
Apt 963
Fort Lauderdale, FL 33304-3232
Phone
(954) 607-0714
NPI assigned
May 9, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN20076 FL Primary

Addresses

Primary practice location

1040 Seminole Dr
Apt 963
Fort Lauderdale, FL 33304-3232

Mailing address

1040 Seminole Dr
Apt 963
Fort Lauderdale, FL 33304-3232
Phone (954) 607-0714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225000382 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1355646688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1861870917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SEMINOLE DR",
            "address_2": "APT 963",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043232",
            "telephone_number": "954-607-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SEMINOLE DR",
            "address_2": "APT 963",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043232",
            "telephone_number": "954-607-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "NINA",
        "middle_name": "MARIA KARIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-09",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN20076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.