DR. CAROLYN L CANNON MD PHD
NPI 1740208552
Pediatrics - Pediatric Pulmonology in Dallas, TX

Q: What is Carolyn Cannon's NPI number?

The NPI number for Carolyn Cannon is 1740208552. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Carolyn Louise Preston MD Phd.

Q: What is Carolyn Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Cannon was last updated on February 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 18, 2006PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-2857(214) 456-5406 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Carolyn L Cannon Md Phd NPPES

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

DR. CAROLYN L CANNON MD PHD (NPI 1740208552) is an individual pediatric pulmonology provider in Dallas, Texas, licensed in Texas (N4322) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740208552

Entity TypeIndividualFemale

Primary Taxonomy2080P0214X

Provider Legal NameDR. CAROLYN L CANNONCredential: MD PHD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address2900 E 29th St, Ste 100Bryan, TX 77802-2623 · (979) 436-0501 · Fax (979) 776-6905

Phone(214) 456-2857

Fax(214) 456-5406

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateFebruary 18, 2019

✔ NPI 1740208552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in TX · N4322

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 2003014838 (MO)

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Names 1

Former Name (1)Carolyn Louise Preston Md Phd

Other Identifiers 1

Medicaid209230002MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc..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. Carolyn L Cannon Md Phd 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.

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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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant