Cannon Hill Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CANNON HILL DENTAL

Practice address

1424 S Bernard St
Spokane, WA 99203-5008

Phone

(509) 624-5590

Fax

(509) 747-0483

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Abby Bowerman

Title

Manager

Phone

(509) 624-5590

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1154876464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035008",
            "telephone_number": "509-624-5590",
            "fax_number": "509-747-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035008",
            "telephone_number": "509-624-5590",
            "fax_number": "509-747-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON HILL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-624-5590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028964",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Candido
• Aaron Canfield, DO
• Jessi Canfield
• Ryan B. Cann
• Holly Cannard, M.A., LMHC
• Cannon Sparks Massage LLC
• Tiffany L Cannon-Keiser, MA, LMHC
• Katrina Lynn Cansler, CDP
• Gary Eugene Cantlon, MD
• Jennifer Lynn Cantrell, ARNP

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.