Organization Active NPI

Cannonorthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beverly Hills, CA
National Provider Identifier
1295049708
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31582 Issued in CA
Legal business name
CANNONORTHODONTICS
Practice address
8500 Wilshire Blvd
#1018
Beverly Hills, CA 90211-3121
Phone
(310) 289-1989
Fax
(310) 289-1661
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. William J Cannon, D.D.S.
Title
Owner/Dentist
Phone
(310) 289-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 31582 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd
#1018
Beverly Hills, CA 90211-3121

Mailing address

8500 Wilshire Blvd
#1018
Beverly Hills, CA 90211-3121
Phone (310) 289-1989

Other names 1

  • william j. cannon Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1295049708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "#1018",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-289-1989",
            "fax_number": "310-289-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "#1018",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-289-1989",
            "fax_number": "310-289-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNONORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-289-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "31582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "william j. cannon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.