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Active NPI 1952722290 Individual Practitioner Male Practitioner

Dr. Timothy Wade Cannon , DC

Chiropractor • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Cannon, DC is a certified Chiropractor practicing in Ammon, ID. With approximately 13 years of clinical experience since graduating from Western States College Of Chiropractic in 2013, Dr. Cannon delivers high-quality medical care to the local community at 611 ENSIGN DR.

Dr. Cannon does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 Ensign Dr

Ammon, ID 834064777

Telephone 2085571880
Associated Practice Facility / Clinic
🏢 Cannon Chiropractic Facility NPI 1164837647

Medicare Profile & Education

Medical School

Western States College Of Chiropractic

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Ammon, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -4.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Ammon, ID (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (13 Years) 13 Yrs
Ammon Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
308 11 $39.01 $34.29

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID CHIA-1580

A 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 column and its interrelationship with other body systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2017

Registered at 611 ENSIGN DR, AMMON, ID 834064777 (Tel: 2085571880)

📍
Updated Business Mailing Address February 09, 2017

Registered at 611 ENSIGN DR, AMMON, ID 834064777 (Tel: 2085571880)

👤
Provider Name / Credentials Updated February 09, 2017

Recorded as TIMOTHY CANNON, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Chiropractor (License #CHIA-1580 in ID)

NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 1341 E 17TH ST, IDAHO FALLS, ID 83404 (Tel: 2085571880)

📍
Updated Business Mailing Address November 01, 2016

Registered at 2373 EAGLE DR, #202, AMMON, ID 834065749 (Tel: 2085571880)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as TIMOTHY CANNON, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Chiropractor (License #CHIA-1580 in ID)

🟢
Initial NPI Registration & Enumeration January 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952722290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2014
Last Update: February 09, 2017
Sole Proprietor: Yes

Mailing Address

611 Ensign Dr

Ammon, ID 834064777

Phone: 2085571880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.