Organization Active NPI

Cannon Chiropractic Center

  • Clinic/Center
  • Plantation, FL
National Provider Identifier
1902006786
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH0004417 Issued in FL
Legal business name
CANNON CHIROPRACTIC CENTER
Practice address
920 SW 40TH Ave
Plantation, FL 33317-4523
Phone
(954) 583-1213
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Charles Robert CannonNPI 1619053311
Title
Owner
Phone
(954) 583-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH0004417 FL Primary

Addresses

Primary practice location

920 SW 40TH Ave
Plantation, FL 33317-4523

Mailing address

920 SW 40TH Ave
Plantation, FL 33317-4523
Phone (954) 583-1213

National Provider Directory

National Provider Directory

Locations

920 SW 40th Ave
Plantation, FL 33317
Phone (305) 583-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1902006786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW 40TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174523",
            "telephone_number": "954-583-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW 40TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174523",
            "telephone_number": "954-583-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-583-1213",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH0004417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.