Patricia Cannon, D.D.S

InactiveIndividual ProviderDentistry
NPI issued: August 16, 2005

Quick Facts

NPI Number
1063404176
TypeIndividual
StatusInactive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(918) 455-4242
StateOK

NPI Validation Status: Deactivated

Valid 10-digit NPI number (1063404176)
Active status: Deactivated / Inactive
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 16, 2005)
Data source: CMS NPPES

Provider Overview

PATRICIA CANNON, D.D.S is a Dentistry provider based in Broken Arrow, OK who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1063404176
Provider TypeIndividual Provider
GenderFemale
CredentialD.D.S
StatusInactive
Enumeration DateAugust 16, 2005

Practice Location

CityBroken Arrow
StateOK
ZIP Code74011-2218
Phone(918) 455-4242

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateOK

Mailing Address

CityBroken Arrow
StateOK
ZIP Code74011-2218
Phone(918) 455-4242
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063404176 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1063404176for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063404176 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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Michael Ariana, DDS

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People Also Ask

What is Patricia Cannon's NPI number?
Patricia Cannon's NPI number is 1063404176, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Patricia Cannon's NPI currently active?
No, Patricia Cannon's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Patricia Cannon specialize in?
Patricia Cannon specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Patricia Cannon practice?
Patricia Cannon practices in Broken Arrow, OK 74011-2218.
When was Patricia Cannon's NPI issued?
Patricia Cannon's NPI was issued on August 16, 2005.
What is Patricia Cannon's provider type?
Patricia Cannon is registered as an Individual Provider under CMS NPI Type 1.