Marah Cannon D.C., Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19726 Issued in CA

Legal business name

MARAH CANNON D.C., INC

Practice address

630 S Glassell St
Suite 103
Orange, CA 92866-3004

Phone

(714) 639-4360

Fax

(714) 639-8811

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marah Hodges Cannon, DC

Title

President

Phone

(714) 639-4360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083736912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "SUITE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663004",
            "telephone_number": "714-639-4360",
            "fax_number": "714-639-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "SUITE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663004",
            "telephone_number": "714-639-4360",
            "fax_number": "714-639-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAH CANNON D.C., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARAH",
        "authorized_official_middle_name": "HODGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-639-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Orange, CA
• Providers in Orange, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.