DAVID CUNDICK DDS
NPI 1164737102
Dentist - Oral and Maxillofacial Surgery in Farmington, NM

Active since August 14, 2010Opted out of Medicare · through Nov 14, 2027
1700 N BUTLER AVE, FARMINGTON, NM 87401(505) 333-8635(505) 258-4909 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Cundick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID CUNDICK DDS (NPI 1164737102) is an individual oral and maxillofacial surgery provider in Farmington, New Mexico, licensed in New Mexico (DD4059) and active in the NPI registry since August 2010. He has opted out of Medicare through November 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164737102
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDAVID CUNDICKCredential: DDS
Location Address1700 N BUTLER AVEFarmington, NM 87401-6331
Mailing Address1700 N Butler AveFarmington, NM 87401-6331 · (505) 333-8635 · Fax (505) 258-4909
Fax(505) 258-4909
Sole ProprietorNo
Enumeration DateAugust 14, 2010
Last NPPES UpdateJuly 1, 2015
NPI 1164737102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NM · DD4059
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1700 N BUTLER AVE, Farmington, NM 87401

Other Identifiers 1

Medicaid27077748NM

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

David Cundick Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2019 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2019
Opt-Out In Effect ThroughNovember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1700 N BUTLER AVE
FARMINGTON, NM 87401
Chiropractor
1700 N BUTLER AVE
FARMINGTON, NM 87401
Chiropractor
1700 N BUTLER AVE
FARMINGTON, NM 87401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Cundick's NPI number?

The NPI number for David Cundick is 1164737102. It was assigned to this individual provider in the NPPES registry on August 14, 2010.

Where is David Cundick located?

David Cundick practices at 1700 N Butler Ave, Farmington, NM 87401. The listed phone number is (505) 333-8635.

What is David Cundick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Cundick enrolled in Medicare?

No. David Cundick has opted out of Medicare through November 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Cundick accept?

Health plans from Humana and Renaissance Dental list David Cundick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Cundick was last updated on July 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.