Active NPI
Cameron Fannon, DC
- Chiropractor
- Altamonte Springs, FL
National Provider Identifier
1427846708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15363
- Practice address
- 175 E Altamonte Dr Ste 1020
Altamonte Springs, FL 32701-4346 - Phone
- (407) 676-7827
- NPI assigned
- Apr 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15363 | FL | Primary |
Addresses
Primary practice location
175 E Altamonte Dr Ste 1020
Altamonte Springs, FL 32701-4346
Mailing address
1100 Dougherty St
New Smyrna Beach, FL 32168-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15363 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1427846708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 DOUGHERTY ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E ALTAMONTE DR STE 1020",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014346",
"telephone_number": "407-676-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNON",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.