RUSSELL W. CANNON DDS APC (NPI# 1912544768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912544768 |
| Entity Type | Organization |
| Organization Name | RUSSELL W. CANNON DDS APC |
| Practice Address |
14150 Culver Dr Ste 200 Irvine CA 92604-0322 |
| Practice Telephone | 9495527874 |
| Mailing Telephone | 9495527874 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | DR. RUSSELL WAYNE CANNON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9495527874 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
14150 CULVER DR STE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-0322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649387986 | Russell Wayne Cannon | Dentist | 14150 Culver Dr Ste 200, Irvine, CA 92604-0322 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730549536 | George Xenakis, Dds, PC | Clinic/Center | 15315 Culver Dr, 185, Irvine, CA 92604-3050 | 2016-03-07 |
| 1578957536 | Beatrice Lu, Dds, Inc | Clinic/Center | 22 Odyssey Ste 220, Irvine, CA 92618-3197 | 2015-03-26 |
| 1336544956 | Bo Kyung Han, Dds P.C. | Clinic/Center | 4950 Barranca Parkway #303, Irvine, CA 92604-4631 | 2014-10-24 |
| 1609214204 | Gagan Uppal Dds Corporation | Clinic/Center | 5405 Alton Pkwy Ste F, Irvine, CA 92604-3719 | 2013-06-05 |
| 1114164399 | Samonte Mora Najaran Dental | Clinic/Center | 16100 Sand Canyon Ave Ste 270, Irvine, CA 92618-3725 | 2009-01-09 |
| 1376707661 | Safaeddin Jahanbani D.d.s., Inc. | Clinic/Center | 113 Waterworks Way Ste 130, Irvine, CA 92618-3168 | 2008-07-15 |
| 1669671756 | Larry V Robinson, D.d.s., Inc. | Clinic/Center | 5200 Irvine Blvd, 335, Irvine, CA 92620-2013 | 2007-07-17 |
| 1811520364 | Media Najafi Dds Inc | Clinic/Center | 113 Waterworks Way Ste 260, Irvine, CA 92618-3169 | 2020-02-12 |
| 1891333795 | Dr.man's Qh Dental Office, Inc. | Clinic/Center | 6805 Quail Hill Pkwy, Irvine, CA 92603-4234 | 2019-12-11 |
| 1700446812 | Pham & Tran Dental Corp | Clinic/Center | 4200 Trabuco Rd Ste 110, Irvine, CA 92620-3617 | 2019-06-20 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on RUSSELL W. CANNON DDS APC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.