NPI age
12 years
Enumerated 2014-01-03
● Active
Type 1 · Individual
Timothy Wade Cannon, D.C.
Cannon is 1 of 13 chiropractor providers in Ammon and 1 of 1165 in Idaho.
Primary specialty
Chiropractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-02-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1165 active chiropractor providers in Idaho.
NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Practice location
611 Ensign Dr
Ammon, ID 834064777
Mailing address
611 Ensign Dr
Ammon, ID 834064777
Specialties
-
Chiropractor PrimaryA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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