DR. BETHANY JOY CANNON DC - NPI 1578842316

Q: What is Bethany Cannon's NPI number?

The NPI number for Bethany Cannon is 1578842316. It was assigned to this individual provider in the NPPES registry on August 10, 2011. The provider is also known as Bethany Joy Forsyth Dc.

Q: What is Bethany Cannon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Cannon was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

On this page

About Dr. Bethany Joy Cannon Dc NPPES

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

DR. BETHANY JOY CANNON DC (NPI 1578842316) is an individual chiropractor in Omaha, Nebraska, licensed in Nebraska (1680) and active in the NPI registry since August 2011. She is a graduate of Palmer College Chiropractic - Davenport (2011).

NPPES Registry Identity

NPI1578842316

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. BETHANY JOY CANNONCredential: DC

Location Address6303 CENTER ST., SUITE 103Omaha, NE 68106-3456

Mailing Address6303 Center St., Suite 103Omaha, NE 68106-3456 · (402) 933-1933 · Fax (402) 504-3264

Phone(402) 933-1933

Fax(402) 504-3264

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2011

Enumeration DateAugust 10, 2011

Last NPPES UpdateAugust 29, 2012

✔ NPI 1578842316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NE · 1680

Definition

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.

6303 CENTER ST., Omaha, NE 68106

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Other Names 1

Former Name (1)Bethany Joy Forsyth Dc

Other Identifiers 2

Medicare UPINNA1478002

Medicaid1002582600NE

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bethany Joy Cannon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658548771

PECOS Enrollment IDI20120112000591

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 Bethany Cannon's NPI number?

The NPI number for Bethany Cannon is 1578842316. It was assigned to this individual provider in the NPPES registry on August 10, 2011. The provider is also known as Bethany Joy Forsyth Dc.

Where is Bethany Cannon located?

Bethany Cannon practices at 6303 Center St. Suite 103, Omaha, NE 68106. The listed phone number is (402) 933-1933.

What is Bethany Cannon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bethany Cannon enrolled in Medicare?

Yes. Bethany Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Cannon was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.