Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. OLIVER D CANNON JR. 22 YEARS PROF EXPERT
NPI 1508779059
Community/Behavioral Health in Las Vegas, NV

Q: What is Oliver Cannon's NPI number?

The NPI number for Oliver Cannon is 1508779059. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Q: What is Oliver Cannon's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Oliver Cannon was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since September 25, 2026

14050 KYLE CANTON RD, LAS VEGAS, NV 89166(702) 301-5705(702) 395-5800 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mr. Oliver D Cannon Jr. 22 Years Prof Expert NPPES

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

MR. OLIVER D CANNON JR. 22 YEARS PROF EXPERT (NPI 1508779059) is an individual community/behavioral health provider in Las Vegas, Nevada, licensed in Nevada (NV20201957379) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1508779059

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameMR. OLIVER D CANNON JR.Credential: 22 YEARS PROF EXPERT

Location Address14050 KYLE CANTON RDLas Vegas, NV 89166

Mailing Address14050 Kyle Canton RdLas Vegas, NV 89166 · (702) 301-5705 · Fax (702) 395-5800

Phone(702) 301-5705

Fax(702) 395-5800

Sole ProprietorYes

Enumeration DateSeptember 25, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1508779059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NV · NV20201957379

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

14050 KYLE CANTON RD, Las Vegas, NV 89166

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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 Oliver Cannon's NPI number?

The NPI number for Oliver Cannon is 1508779059. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Where is Oliver Cannon located?

Oliver Cannon practices at 14050 Kyle Canton Rd, Las Vegas, NV 89166. The listed phone number is (702) 301-5705.

What is Oliver Cannon's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Oliver Cannon was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.