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CANNON CHIROPRACTIC
NPI 1164837647
Clinic/Center - Primary Care in Idaho Falls, ID

Active since June 24, 2014
2052 JENNIE LEE DR, SUITE 4, IDAHO FALLS, ID 83404(208) 557-1880(208) 874-4273 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cannon Chiropractic NPPES

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

CANNON CHIROPRACTIC (NPI 1164837647) is a healthcare organization registered as a primary care in Idaho Falls, Idaho and active in the NPI registry since June 2014. The organization lists Timothy W Cannon, Chiropractic Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1164837647
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANNON CHIROPRACTIC
Location Address2052 JENNIE LEE DR, SUITE 4Idaho Falls, ID 83404-7047
Mailing Address2052 Jennie Lee Dr, Suite 4Idaho Falls, ID 83404-7047 · (208) 557-1880 · Fax (208) 874-4273
Phone(208) 557-1880
Fax(208) 874-4273
Organization SubpartNo
Authorized OfficialTimothy W CannonChiropractic Physician, Owner · (208) 557-1880
Enumeration DateJune 24, 2014
✔ NPI 1164837647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in ID · CHIA-1580
2052 JENNIE LEE DR, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIGNATURE HOSPICE LLC
Hospice Care, Community Based
2052 JENNIE LEE DR
IDAHO FALLS, ID 83404
Bonneville County (208) 227-0478
SIGNATURE HOMECARE LLC
Home Health
2052 JENNIE LEE DR
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0685

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 Cannon Chiropractic's NPI number?

The NPI number for Cannon Chiropractic is 1164837647. It was assigned to this organization in the NPPES registry on June 24, 2014.

Where is Cannon Chiropractic located?

Cannon Chiropractic is located at 2052 Jennie Lee Dr Suite 4, Idaho Falls, ID 83404. The listed phone number is (208) 557-1880.

What is Cannon Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Cannon Chiropractic was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.