Cannon Enterprises Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CANNON ENTERPRISES INC

Practice address

9864 Oldham Dr
Cordova, TN 38016-0664

Phone

(262) 672-8641

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keith Quincy CannonNPI 1508622598

Title

President/Owner

Phone

(262) 672-8641

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Cannon

  • Non-emergency Medical Transport (VAN)
  • Racine, WI
  • NPI 1508622598
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1053169169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9864 OLDHAM DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160664",
            "telephone_number": "262-672-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9864 OLDHAM DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160664",
            "telephone_number": "262-672-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "QUINCY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-672-8641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Caldwell, PMHNP
• Marcia Moray Calhoun, PHARMD
• Alicia Camp, WHNP
• Alexicia Darnisha Campbell, BS, HHA
• Scot Kenneth Canfield, PHD,APN-BC
• Cannon Enterprises LTD
• Douglas Todd Cannon, MD
• Jasmine Elaine Cannon
• Brian Thien Sinh Cao, PHARMD
• Capabilities for Living, LLC

• Non-emergency Medical Transport (VAN) in Cordova, TN
• Providers in Cordova, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.