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DR. SHANNON CAROL CUNNINGHAM D.D.S.
NPI 1770681173
Dentist - General Practice in Cottage Grove, MN

Active since September 20, 2006PECOS Enrolled
7430 80TH ST S, SUITE 202, COTTAGE GROVE, MN 55016(651) 459-6884(651) 459-5670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shannon Carol Cunningham D.d.s. NPPES

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

DR. SHANNON CAROL CUNNINGHAM D.D.S. (NPI 1770681173) is an individual general practice provider in Cottage Grove, Minnesota, licensed in Minnesota (D11160) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770681173
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANNON CAROL CUNNINGHAMCredential: D.D.S.
Location Address7430 80TH ST S, SUITE 202Cottage Grove, MN 55016-3035
Mailing Address1956 Juliet AveSaint Paul, MN 55105-1722
Phone(651) 459-6884
Fax(651) 459-5670
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770681173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D11160
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7430 80TH ST S, Cottage Grove, MN 55016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Carol Cunningham D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55016 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

MIDWEST FOOT & ANKLE SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
7430 80TH ST S, SUITE 104
COTTAGE GROVE, MN 55016
Washington County (651) 459-9171

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 Shannon Cunningham's NPI number?

The NPI number for Shannon Cunningham is 1770681173. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Shannon Cunningham located?

Shannon Cunningham practices at 7430 80th St S Suite 202, Cottage Grove, MN 55016. The listed phone number is (651) 459-6884.

What is Shannon Cunningham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shannon Cunningham enrolled in Medicare?

Yes. Shannon Cunningham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Cunningham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.