Individual provider Active NPI

James Michael Cunningham, DMD

  • Dentist
  • College Station, TX
National Provider Identifier
1922593888
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6505 Issued in AL
Practice address
1132 Midtown Dr
College Station, TX 77845-2719
Phone
(979) 846-7799
NPI assigned
Jun 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6505 AL Primary

Addresses

Primary practice location

1132 Midtown Dr
College Station, TX 77845-2719

Mailing address

2602 Kimbolton Dr
College Station, TX 77845-1236
Phone (205) 317-3929

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

LicenseStateTypeSpecialty
6505ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Smiles, Family & Cosmetic Dentistry Dentist CurrentSince Jun 18, 2023 Accepting new patients
Sam E English II DDS LLC PastSince Jan 1, 2021 Accepting new patients

Locations

1132 Midtown Dr
College Station, TX 77845
Phone (979) 846-7799

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1922593888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 KIMBOLTON DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451236",
            "telephone_number": "205-317-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 MIDTOWN DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452719",
            "telephone_number": "979-846-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.