Organization Active NPI

Bruce E. Cunningham, DMD PC

  • General Practice Dentistry
  • Jacksonville, AL
National Provider Identifier
1982173084
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRUCE E. CUNNINGHAM, DMD PC
Practice address
1450 1St Ave SW
Jacksonville, AL 36265-3329
Phone
(256) 435-2007
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mrs. Evonne Cunningham
Title
Office Administrator
Phone
(256) 435-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1450 1St Ave SW
Jacksonville, AL 36265-3329

Mailing address

1450 1St Ave SW
Jacksonville, AL 36265-3329
Phone (256) 435-2007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1982173084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 1ST AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653329",
            "telephone_number": "256-435-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 1ST AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653329",
            "telephone_number": "256-435-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. CUNNINGHAM, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "EVONNE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-435-2007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.