Brandon K. Cannon, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9008 Issued in TN

Practice address

2290 Ogletree Ave Ste 104
Chattanooga, TN 37421-8828

Phone

(423) 598-1511

NPI assigned

Jun 19, 2009

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)

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.

• Associates in Oral and Maxillofacial Surgery, P. C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chattanooga, TN
  • NPI 1851474563
  NPD (past)
• Professional Medical Properties, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Chattanooga, TN
  • NPI 1700970407
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1740417583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 OGLETREE AVE STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218828",
            "telephone_number": "423-598-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 OGLETREE AVE STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218828",
            "telephone_number": "423-598-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BRANDON",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Tate Canida
• Jennifer Leigh Canipe, PHARM D
• Cory Hunter Cannady, BEHAVIOR ANALYST
• Cannon & Cannon Medical, PLLC
• Allison A Cannon, M.D.
• Brittany Cannon, PA-C
• Pepper Nicole Cannon, LPN
• Sherri Canther, ARNP
• Cantrell Home, Inc.
• Jacob Bruce Cantrell, MD

• All providers in Chattanooga, TN
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.