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DANIEL SIMMONDS CANNON
NPI 1013176098
Dentist - Oral and Maxillofacial Surgery in Tulsa, OK

Active since June 05, 2008Opted out of Medicare · through Jun 16, 2027
3345 S HARVARD AVE STE 103, TULSA, OK 74135(918) 743-1351(918) 743-7329 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Simmonds Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL SIMMONDS CANNON (NPI 1013176098) is an individual oral and maxillofacial surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (158) and active in the NPI registry since June 2008. He has opted out of Medicare through June 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013176098
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDANIEL SIMMONDS CANNON
Location Address3345 S HARVARD AVE STE 103Tulsa, OK 74135-1800
Mailing Address3345 S Harvard Ave Ste 103Tulsa, OK 74135-1800 · (918) 743-1351 · Fax (918) 743-7329
Phone(918) 743-1351
Fax(918) 743-7329
Sole ProprietorNo
Enumeration DateJune 5, 2008
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1013176098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 158
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3345 S HARVARD AVE STE 103, Tulsa, OK 74135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Daniel Simmonds Cannon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2025 through June 16, 2027.

Opt-Out Effective DateJune 16, 2025
Opt-Out In Effect ThroughJune 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Cannon's NPI number?

The NPI number for Daniel Cannon is 1013176098. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Daniel Cannon located?

Daniel Cannon practices at 3345 S Harvard Ave Ste 103, Tulsa, OK 74135. The listed phone number is (918) 743-1351.

What is Daniel Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Cannon enrolled in Medicare?

No. Daniel Cannon has opted out of Medicare through June 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Cannon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Daniel Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Cannon was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.