Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cannon Moore

Individual provider Adult Companion · NPI 1285599670

Cannon Moore is an Adult Companion in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6818 Grover St
Omaha, NE 68106-3640
Phone: (402) 932-0072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1285599670
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address6818 Grover St, Omaha, NE 68106-3640

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