Individual provider Active NPI

Dallas Spencer Cann, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1366462194
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7470 Issued in AZ
Practice address
3076 E Chandler Heights Rd Ste 107
Chandler Heights Village
Gilbert, AZ 85298-4327
Phone
(480) 840-3663
Fax
(480) 840-3663
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7470 AZ Primary

Addresses

Primary practice location

3076 E Chandler Heights Rd Ste 107
Chandler Heights Village
Gilbert, AZ 85298-4327

Mailing address

3076 E Chandler Heights Rd Ste 107
Chandler Heights Village
Gilbert, AZ 85298-4327
Phone (480) 840-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000091 AZ Practitioner - Chiropractic 0941279525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3076 E Chandler Heights Rd
Suite 107
Gilbert, AZ 85298-4327
Phone (480) 840-3663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7470AZMDDriving and Community Mobility Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Health, PLLC Chiropractor CurrentSince May 27, 2010 Accepting new patients
Ocotillo Chiropractic Center II PC Chiropractor Past Accepting new patients

Locations

3076 E Chandler Heights Rd
Ste 107
Gilbert, AZ 85298
Phone (480) 208-3835

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1366462194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 E CHANDLER HEIGHTS RD STE 107",
            "address_2": "CHANDLER HEIGHTS VILLAGE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984327",
            "telephone_number": "480-840-3663",
            "fax_number": "480-840-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 E CHANDLER HEIGHTS RD STE 107",
            "address_2": "CHANDLER HEIGHTS VILLAGE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984327",
            "telephone_number": "480-840-3663",
            "fax_number": "480-840-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANN",
        "first_name": "DALLAS",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.