1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Dentist
  6. NPI Profile

DR. DAVID H CANNON DDS
NPI 1619046117
Dentist - General Practice in Salt Lake City, UT

Active since November 07, 2006PECOS Enrolled
1060 E 100 S, SUITE 307, SALT LAKE CITY, UT 84102(801) 363-1321(801) 322-0884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David H Cannon Dds NPPES

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

DR. DAVID H CANNON DDS (NPI 1619046117) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (139950-9922) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619046117
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID H CANNONCredential: DDS
Location Address1060 E 100 S, SUITE 307Salt Lake City, UT 84102-1501
Mailing Address1060 E 100 S, Suite 307Salt Lake City, UT 84102-1501 · (801) 363-1321 · Fax (801) 322-0884
Phone(801) 363-1321
Fax(801) 322-0884
Sole ProprietorYes
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619046117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 139950-9922
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.

1060 E 100 S, Salt Lake City, UT 84102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. David H Cannon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 20

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

DR. JESSE GORA PSY.D.
Psychologist (Clinical)
1060 E 100 S, SUITE 105
SALT LAKE CITY, UT 84102
Salt Lake County (801) 532-7414
KRISTIN KAYE MCELWAIN FNP
Internal Medicine
1060 E 100 S, L10
SALT LAKE CITY, UT 84102
Salt Lake County (801) 328-1260
WANDA S UPDIKE MD
Internal Medicine (Cardiovascular Disease)
1060 E 100 S, L10
SALT LAKE CITY, UT 84102
Salt Lake County (801) 328-1260
JOYCE DUNN JOHNSON MD
Internal Medicine
1060 E 100 S, L10
SALT LAKE CITY, UT 84102
Salt Lake County (801) 328-1260
DR. MARY K HALES PH.D
Clinical Neuropsychologist
1060 E 100 S, SUITE L1
SALT LAKE CITY, UT 84102
Salt Lake County (801) 359-6069
CHRISTINE W KAPSA N.P.
Nurse Practitioner (Women's Health)
1060 E 100 S, SUITE 400
SALT LAKE CITY, UT 84102
Salt Lake County (801) 521-2640
NATALIE K LOEWEN M.D.
Obstetrics & Gynecology (Obstetrics)
1060 E 100 S, SUITE 400
SALT LAKE CITY, UT 84102
Salt Lake County (801) 521-2640
SHARON K SCHRIEWER M.D.
Pediatrics
1060 E 100 S, SUITE 400
SALT LAKE CITY, UT 84102
Salt Lake County (801) 521-2640

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 David Cannon's NPI number?

The NPI number for David Cannon is 1619046117. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is David Cannon located?

David Cannon practices at 1060 E 100 S Suite 307, Salt Lake City, UT 84102. The listed phone number is (801) 363-1321.

What is David Cannon's specialty?

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

Is David Cannon enrolled in Medicare?

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

What insurance does David Cannon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list David 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 David Cannon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.