Peter N Cannon DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

9435

Legal business name

PETER N CANNON DDS PA

Practice address

400 Robert St N
#270
Saint Paul, MN 55101-2015

Phone

(651) 224-2787

Fax

(651) 223-5557

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Peter Noel Cannon, DDS PANPI 1467623959

Title

General Dentist

Phone

(651) 224-2787

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Noel Cannon, DDS, PA

  • Dentist
  • Saint Paul, MN
  • NPI 1467623959
  NPD (past) Authorized official

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710960760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERT ST N",
            "address_2": "#270",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012015",
            "telephone_number": "651-224-2787",
            "fax_number": "651-223-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROBERT ST N",
            "address_2": "#270",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012015",
            "telephone_number": "651-224-2787",
            "fax_number": "651-223-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER N CANNON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "651-224-2787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": "9435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Care Services, Inc.
• Karli Persson
• Kelly Pertzsch, MA
• Eva Pesch, MD
• Madeleine Pesch, MD
• Linda Rae Peter, PA-C
• Maija Peterfeso, MSW LICSW
• Bailey Rose Peterka, RD
• Jodi L Peterman, CRNA
• Caidyn Angeline Peters

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.