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MR. DAVID L CANNON DDS
NPI 1801824040
Dentist - General Practice in Alexandria, MN

Active since June 28, 2006PECOS Enrolled
3015 HWY 29 S., SUITE 4176, ALEXANDRIA, MN 56308(320) 763-5052(320) 763-5053 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David L Cannon Dds NPPES

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

MR. DAVID L CANNON DDS (NPI 1801824040) is an individual general practice provider in Alexandria, Minnesota, licensed in Minnesota (11868) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801824040
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. DAVID L CANNONCredential: DDS
Location Address3015 HWY 29 S., SUITE 4176Alexandria, MN 56308
Mailing Address4100 Shoreline Dr. #4Spring Park, MN 55384 · (952) 224-9784 · Fax (952) 224-9791
Phone(320) 763-5052
Fax(320) 763-5053
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 16, 2014
✔ NPI 1801824040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 11868
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.
3015 HWY 29 S., Alexandria, MN 56308
Open in Google Maps ↗

Other Identifiers 1

Other537439100MN · Mn Health Plans Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Mr. David L 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 56308 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 1801824040. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is David Cannon located?

David Cannon practices at 3015 Hwy 29 S. Suite 4176, Alexandria, MN 56308. The listed phone number is (320) 763-5052.

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 Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental 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 June 16, 2014. 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.