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DR. FRED CORNELIUS CANNON
NPI 1093586190
Dentist - General Practice in Topeka, KS

Active since January 09, 2024
6220 SW 29TH ST STE 200, TOPEKA, KS 66614(316) 322-2081 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred Cornelius Cannon NPPES

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

DR. FRED CORNELIUS CANNON (NPI 1093586190) is an individual general practice provider in Topeka, Kansas, licensed in Kansas (7201) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1093586190
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FRED CORNELIUS CANNON
Location Address6220 SW 29TH ST STE 200Topeka, KS 66614-5028
Mailing AddressPo Box 397Andover, KS 67002-0397 · (316) 213-4874
Phone(316) 322-2081
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1093586190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 7201
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6220 SW 29TH ST STE 200, Topeka, KS 66614
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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 Fred Cannon's NPI number?

The NPI number for Fred Cannon is 1093586190. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Fred Cannon located?

Fred Cannon practices at 6220 SW 29th St Ste 200, Topeka, KS 66614. The listed phone number is (316) 322-2081.

What is Fred Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fred Cannon was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.