Provider Type Icon

DR. BETHANY JOY CANNON DC NPI 1578842316


NPI Information

NPI: 1578842316
Provider Name: DR. BETHANY JOY CANNON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
6303 CENTER ST.
SUITE 103
OMAHA, NE
ZIP 68106
Phone: (402) 933-1933
Get Directions

DR. Bethany Joy Cannon, DC is a chiropractor in Omaha, NE. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Bethany Joy Cannon, DC NPI is 1578842316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6303 CENTER ST.
SUITE 103
OMAHA, NE
ZIP 68106-456
Phone: (402) 933-1933
Fax: (402) 504-3264

The enumeration date for this NPI number is 8/10/2011 and was last updated on 8/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1680NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NA1478002MEDICARE UPIN
21002582600MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.