Keith Cannon

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

825 Ohio St
Racine, WI 53405-2205

Phone

(262) 672-8641

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cannon Enterprises Inc

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
  • NPI 1053169169
  NPD Authorized official
• Cannon Enterprises LTD

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
  • NPI 1013765106
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1508622598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9864 OLDHAM DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160664",
            "telephone_number": "262-672-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OHIO ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052205",
            "telephone_number": "262-672-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Camacho, RDH
• Dana Cammilleri, LPC
• Steven William Campbell, D.D.S.
• Kathleen B Campeau, SAC-IT
• Katherine Furman Canfield, M.D.
• Regina A Capelli-Scheidt, M.D.
• Gregory J Capelli, M.D.
• Debra Mae Capener, MSSW
• Melissa K Caplick, RN
• Cardiac Rhythm Specialists SC

• Non-emergency Medical Transport (VAN) in Racine, WI
• Providers in Racine, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.