DR. KAHALA C CANNON DDS
NPI 1770573131
Dentist - General Practice in Memphis, TN

Active since October 26, 2005
5366 MENDENHALL MALL, MEMPHIS, TN 38115(901) 271-6156(901) 271-6195 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kahala C Cannon Dds NPPES

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

DR. KAHALA C CANNON DDS (NPI 1770573131) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (8044) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1770573131
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KAHALA C CANNONCredential: DDS
Location Address5366 MENDENHALL MALLMemphis, TN 38115-4505
Mailing Address2595 Central AveMemphis, TN 38104-5905 · (901) 271-6300
Fax(901) 271-6195
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateSeptember 27, 2013
NPI 1770573131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 8044
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.
5366 MENDENHALL MALL, Memphis, TN 38115

Other Identifiers 1

Medicaid3497809TN

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Physician Assistant
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Pediatrics
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Pharmacist
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Physician Assistant
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Counselor (Mental Health)
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Dentist (General Practice)
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Nurse Practitioner (Family)
5366 MENDENHALL MALL
MEMPHIS, TN 38115
Nurse Practitioner (Family)
5366 MENDENHALL MALL
MEMPHIS, TN 38115

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 Kahala Cannon's NPI number?

The NPI number for Kahala Cannon is 1770573131. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Kahala Cannon located?

Kahala Cannon practices at 5366 Mendenhall Mall, Memphis, TN 38115. The listed phone number is (901) 271-6156.

What is Kahala Cannon's specialty?

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

What insurance does Kahala Cannon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Kahala 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 Kahala Cannon was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.