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DR. MICHELLE LYNN CANNON DDS
NPI 1629305065
Dentist - General Practice in Michigan City, IN

Active since November 05, 2009PECOS Enrolled
710 FRANKLIN ST, SUITE 200, MICHIGAN CITY, IN 46360(219) 872-6200(219) 379-2736 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Lynn Cannon Dds NPPES

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

DR. MICHELLE LYNN CANNON DDS (NPI 1629305065) is an individual general practice provider in Michigan City, Indiana, licensed in Indiana (12011767A) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629305065
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHELLE LYNN CANNONCredential: DDS
Location Address710 FRANKLIN ST, SUITE 200Michigan City, IN 46360-3563
Mailing Address710 Franklin St, Suite 200Michigan City, IN 46360-3563 · (219) 872-6200 · Fax (219) 379-2736
Phone(219) 872-6200
Fax(219) 379-2736
Sole ProprietorNo
Enumeration DateNovember 5, 2009
Last NPPES UpdateMay 10, 2012
✔ NPI 1629305065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12011767A✔ Licensed in IL · 019.028140
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.
710 FRANKLIN ST, Michigan City, IN 46360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Michelle Lynn 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 46360 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 13

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

JOHN S KELLY MD
Internal Medicine (Geriatric Medicine)
710 FRANKLIN ST, SUITE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
MRS. CARMEN BONITA MCCOY LCSW
Social Worker (Clinical)
710 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
ELIZABETH ROY PHARMD
Pharmacist
710 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
THOMAS SQUIRES PT
Physical Therapist
710 FRANKLIN ST, SUITE 100
MICHIGAN CITY, IN 46360
Laporte County (219) 873-7037
CHARLES WOLF PT
Physical Therapist
710 FRANKLIN ST, SUITE 100
MICHIGAN CITY, IN 46360
Laporte County (219) 873-7037
MICHAEL KOSTESKIE OT
Occupational Therapist
710 FRANKLIN ST, SUITE 100
MICHIGAN CITY, IN 46360
Laporte County (219) 873-7037
RAZIA BEGUM MD
Pediatrics
710 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
DINEKE FRANCIS FNP
Nurse Practitioner (Family)
710 FRANKLIN ST, SUITE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200

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 Michelle Cannon's NPI number?

The NPI number for Michelle Cannon is 1629305065. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Michelle Cannon located?

Michelle Cannon practices at 710 Franklin St Suite 200, Michigan City, IN 46360. The listed phone number is (219) 872-6200.

What is Michelle Cannon's specialty?

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

Is Michelle Cannon enrolled in Medicare?

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

What insurance does Michelle Cannon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Michelle 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 Michelle Cannon was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.