MICHAEL PATRICK CUNNINGHAM DDS
NPI 1407917305
Dentist in Downers Grove, IL

Active since December 13, 2006Opted out of Medicare · through Mar 10, 2027
6800 MAIN ST, SUITE 315, DOWNERS GROVE, IL 60516(630) 969-5350 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Patrick Cunningham Dds NPPES

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

MICHAEL PATRICK CUNNINGHAM DDS (NPI 1407917305) is an individual dentist in Downers Grove, Illinois, licensed in Illinois (019023311) and active in the NPI registry since December 2006. He has opted out of Medicare through March 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407917305
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMICHAEL PATRICK CUNNINGHAMCredential: DDS
Location Address6800 MAIN ST, SUITE 315Downers Grove, IL 60516
Mailing Address6800 Main Street, Suite 315Downers Grove, IL 60516 · (630) 969-5350
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
NPI 1407917305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019023311
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 021001963 (IL)
6800 MAIN ST, Downers Grove, IL 60516

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

Michael Patrick Cunningham 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 March 10, 2015 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2015
Opt-Out In Effect ThroughMarch 10, 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 60516 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 20

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

Dental Hygienist
6800 MAIN ST, SUITE 315
DOWNERS GROVE, IL 60516
Dental Hygienist
6800 MAIN ST, SUITE 315
DOWNERS GROVE, IL 60516
Audiologist
6800 MAIN ST, #114
DOWNERS GROVE, IL 60516
Home Health
6800 MAIN ST, SUITE 020
DOWNERS GROVE, IL 60516
Dental Hygienist
6800 MAIN ST
DOWNERS GROVE, IL 60516
Audiologist
6800 MAIN ST, #114
DOWNERS GROVE, IL 60516
Dental Hygienist
6800 MAIN ST, STE 315
DOWNERS GROVE, IL 60516
Specialist
6800 MAIN ST, SUITE 215
DOWNERS GROVE, IL 60516

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 Michael Cunningham's NPI number?

The NPI number for Michael Cunningham is 1407917305. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Michael Cunningham located?

Michael Cunningham practices at 6800 Main St Suite 315, Downers Grove, IL 60516. The listed phone number is (630) 969-5350.

What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Cunningham enrolled in Medicare?

No. Michael Cunningham has opted out of Medicare through March 10, 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 Michael Cunningham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Michael Cunningham 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 Michael Cunningham was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.