Individual provider Active NPI

Danielle Suit Cannon, DMD

  • General Practice Dentistry
  • Flemingsburg, KY
National Provider Identifier
1508312950
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10031 Issued in KY
Practice address
46 Ashbrook Dr
Flemingsburg, KY 41041-9677
Phone
(606) 849-1999
NPI assigned
Aug 26, 2016
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6872 OK
General Practice Dentistry 1223G0001X 10031 KY Primary

Addresses

Primary practice location

46 Ashbrook Dr
Flemingsburg, KY 41041-9677

Mailing address

46 Ashbrook Dr
Flemingsburg, KY 41041-9677
Phone (606) 849-1999

Other practice location 1

2111 NW Cache Rd
Lawton, OK 73505-5213
Phone (580) 699-8802

Other practice location 2

101 Jett Blvd Ste 100
Frankfort, KY 40601-7778
Phone (502) 871-3525

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

LicenseStateTypeSpecialty
10031KYMDGeneral Practice Dentistry
6872OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Price Dre, LLC Dentist CurrentSince Jun 4, 2023 Accepting new patients
Okc Dental Health Associates, P.C. General Practice Past Accepting new patients

Locations

46 Ashbrook Dr
Flemingsburg, KY 41041
Phone (606) 849-1999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1508312950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ASHBROOK DR",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419677",
            "telephone_number": "606-849-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ASHBROOK DR",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419677",
            "telephone_number": "606-849-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 NW Cache Rd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735055213",
            "country_code": "US",
            "telephone_number": "580-699-8802",
            "fax_number": "580-699-8803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Jett Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406017778",
            "country_code": "US",
            "telephone_number": "502-871-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "DANIELLE",
        "middle_name": "SUIT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6872",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.