Gabrielle Ferguson Cannick, DMD, PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4585 Issued in SC

Practice address

3905 Liberty Hwy
Anderson, SC 29621-1229

Phone

(864) 224-0809

Fax

(864) 224-0811

NPI assigned

Jun 4, 2009

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Female

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grand Oaks Sleep Solutions LLC

  • Dentist
  • Anderson, SC
  • NPI 1871011593
  NPD Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1972739910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 LIBERTY HWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211229",
            "telephone_number": "864-224-0809",
            "fax_number": "864-224-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LIBERTY HWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211229",
            "telephone_number": "864-224-0809",
            "fax_number": "864-224-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNICK",
        "first_name": "GABRIELLE",
        "middle_name": "FERGUSON",
        "name_prefix": "Dr.",
        "credential": "DMD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Cargile Campbell, OTR-L
• Kenneth S Campbell, M.D.
• Mary F. Campbell
• Phyllis Fay Campbell
• Cherse Canarina
• Leander Cannick III, M.D.
• Cannon Memorial Hospital (Cannon Orthopedics - Divina)
• Jordan Ashley Cannon, BS
• Cheryl B Cantrell
• William Cantrell, DPT, PT

• General Practice Dentistry in Anderson, SC
• Providers in Anderson, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.