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

Timothy Wade Cannon, DC

Individual provider Chiropractor · NPI 1952722290

Timothy Wade Cannon, DC is a Chiropractic in Ammon, Idaho. Graduated from Western States College of Chiropractic in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Idaho.

Years since qualifying
13
Trained at
Western States College of Chiropractic
Licensed in
ID
In the registry since
2014
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

611 Ensign Dr
Ammon, ID 83406-4777
Phone: (208) 557-1880
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-1580 (ID)

Record details

NPI number1952722290
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 3, 2014
Last updated in NPPESFebruary 9, 2017
Mailing address611 Ensign Dr, Ammon, ID 83406-4777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ammon