NPI age
11 years
Enumerated 2014-06-24
● Active Type 2 · Organization
Cannon Chiropractic
Cannon Chiropractic is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cannon
Chiropractic Physician, Owner
Last NPPES update
2014-06-24
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2052 Jennie Lee Dr, Suite 4
Idaho Falls, ID 834047047
Mailing address
2052 Jennie Lee Dr, Suite 4
Idaho Falls, ID 834047047
Authorized official
Timothy W Cannon, D.C., M.S.
Chiropractic Physician, Owner
📞 2085571880
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.