Darriel Joseph Cannon, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13446 Issued in NC

Practice address

5325 Vinning St NW Ste 203
Concord, NC 28027-2946

Phone

(704) 785-8060

NPI assigned

Apr 11, 2019

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt Comiskey DDS PA

  dba Comiskey Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Concord, NC
  • NPI 1043086739
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1043773427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 ALDENGATE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231146550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 VINNING ST NW STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272946",
            "telephone_number": "704-785-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "DARRIEL",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "13446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant L. Campbell, MD
• Kate Leslye Campbell, FNP-C
• Paul Thomas Campbell, MD
• Sasha Campbell, RPT
• Keri Lynn Canevari, CCC-SLP
• Janet Marie Cannon, LCMHC
• Dayanara Canrera-Torres
• McKinsey Raye Canter
• Kimberley Canton-Kane, D.D.S
• Teri G Capozzolo, C.O.T.A.

• Oral and Maxillofacial Surgery (Dentist) in Concord, NC
• Providers in Concord, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.