Cannon Chiropractic
NPI 1164837647 · Primary Care Clinic/Center · Idaho Falls, ID
Cannon Chiropractic is a Primary Care Clinic/Center organization in Idaho Falls, ID (NPI 1164837647).
Provider details
- NPI number
- 1164837647
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Cannon, Chiropractic Physician, Owner(208) 557-1880
- License
- CHIA-1580 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2014-06-24
Frequently asked questions
- What is Cannon Chiropractic's NPI number?
- Cannon Chiropractic's National Provider Identifier (NPI) is 1164837647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cannon Chiropractic?
- Cannon Chiropractic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cannon Chiropractic located?
- Cannon Chiropractic's practice location on file with NPPES is 2052 Jennie Lee Dr, Idaho Falls, ID 83404-7047.
- What is Cannon Chiropractic's phone number?
- The practice phone number listed in the NPPES registry for Cannon Chiropractic is (208) 557-1880.
- Who is the authorized official for Cannon Chiropractic?
- The authorized official listed on Cannon Chiropractic's NPPES record is Timothy Cannon, Chiropractic Physician, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cannon Chiropractic's NPI active?
- Yes — Cannon Chiropractic's NPI (1164837647) is active in the NPPES registry as of the last update on 2014-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.