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CHARLES FREDERICK CUNNINGHAM DDS
NPI 1952468464
Dentist in Bloomington, IL

Active since January 03, 2007PECOS Enrolled
202 S ELDORADO RD, BLOOMINGTON, IL 61704(309) 663-6551(309) 663-2578 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Frederick Cunningham Dds NPPES

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

CHARLES FREDERICK CUNNINGHAM DDS (NPI 1952468464) is an individual dentist in Bloomington, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952468464
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHARLES FREDERICK CUNNINGHAMCredential: DDS
Location Address202 S ELDORADO RDBloomington, IL 61704-4471
Mailing Address202 S Eldorado RdBloomington, IL 61704-4471 · (309) 663-6551 · Fax (309) 663-2578
Phone(309) 663-6551
Fax(309) 663-2578
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952468464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
202 S ELDORADO RD, Bloomington, IL 61704
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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)

Charles Frederick Cunningham Dds 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 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

CORIE ANN MILLER LMT
Massage Therapist
202 S ELDORADO RD, SUITE D3
BLOOMINGTON, IL 61704
McLean County (309) 662-2900

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 Charles Cunningham's NPI number?

The NPI number for Charles Cunningham is 1952468464. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Charles Cunningham located?

Charles Cunningham practices at 202 S Eldorado Rd, Bloomington, IL 61704. The listed phone number is (309) 663-6551.

What is Charles Cunningham's specialty?

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

Is Charles Cunningham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles 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.