DR. JOHN SHRADER CANNON


Address: 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467
Phone: 9017568475

DR. JOHN SHRADER CANNON (NPI# 1225143720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225143720
Entity Type Individual
Full Name DR. JOHN SHRADER CANNON
Credential D.D.S.
Practice Address 1661 Aaron Brenner Dr Ste 105
Memphis
TN 38120-1467
Practice Telephone 9017568475
Practice Fax Number 9017567820
Mailing Telephone 9017568475
Mailing Fax Number 9017567820
Enumeration Date 2006-08-21
Last Update Date 2009-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS2752 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS BLUE SHIELD 4079273 01
TN COMPBENEFITS # 606051 01
TN ASSURANT # 000516 01
TN CIGNA # 113786 01
TN AETNA # 2038634 01
TN UNITED CONCORDIA # 532822 01

Other Providers JOHN CANNON

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1568475598 John H. Cannon IIi Family Medicine 1055 Clarksville Street, Suite 165, Paris, TX 75460 2006-08-14
1487618211 John Roy Cannon Counselor 117 Larkspur Rd, Newark, DE 19711-6863 2006-04-17
1992790430 John M Cannon Urology 1770 Long Pond Rd, Suite 101, Rochester, NY 14606-4057 2005-09-12
1992102347 John Cannon Home Health 1700 S Amphlett Blvd Ste 200, San Mateo, CA 94402-2717 2014-12-01
1649514621 John David Cannon Counselor 280 17th St, Oakland, CA 94612-4124 2012-11-15
1568584514 John Clark Cannon Social Worker 1030 Jefferson Ave, Memphis, TN 38104-2127 2007-04-03
1700903143 John T. Cannon Counselor 11605 Arbor St, Suite 106, Omaha, NE 68144-2982 2007-03-22
1972537470 John Robert Cannon Chiropractor 600 State St, Suite A, Portsmouth, NH 03801-4370 2006-07-10

Office Location

Street Address 1661 AARON BRENNER DR STE 105
City MEMPHIS
State TN
Zip Code 38120-1467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144456427 Scott A Weiskopf Dentist 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120 2009-06-01
1538379714 Sexton Oral and Maxillofacial Surgery Dentist 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 2007-05-23
1740395250 Stephen Barrett Sexton Dentist 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
Find all providers in zip 38120

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376939645 Matthew Breit Dentist 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 2015-04-13
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1427471382 Oral & Maxillofacial Surgery Clinic Inc. Dentist 910 Madison Ave Ste 710, Memphis, TN 38103-3453 2014-01-29
1225132590 Harris E Williams Dentist 6621 Kirby Center Cv, Memphis, TN 38115-4313 2006-09-08
1356305569 James M. Christian Dentist 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 2006-04-14
1447231253 Joseph Lawrence Mcrae Dentist 5565 Murray Rd, Memphis, TN 38119-3879 2005-11-09
1891785655 Richard D Meekins Jr. Dentist 1251 Wesley Dr, 101, Memphis, TN 38116-6442 2005-10-24
1013905165 Isaac Fordjour Dentist 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 2005-10-12
1366430647 Lawrence W Weeda Jr. Dentist 875 Union Ave, Room N-328, Memphis, TN 38163-0001 2005-10-11
1194717256 Gilbert G Stein Dentist 1715 Kirby Pkwy, Suite 101, Memphis, TN 38120-4320 2005-08-16
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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