Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Carson Cannon, D.D.S.

Dentist in Stillwater, MN · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063078210

Verified

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Registry record

Entity type Individual (Type 1)

Name Carson Cannon

Credential D.D.S.

Sex Male

Practice address 2850 Curve Crest Blvd W Ste 200, Stillwater, MN, 55082

Phone (651) 439-9400

Enumeration date May 14, 2019

Last updated in NPPES Feb 4, 2022

Taxonomy & licenses

122300000X Dentist Dental Providers · License D14174 (MN) Secondary

1223G0001X General Practice Dentistry Dental Providers · License 1002126-15 (WI) Secondary

1223G0001X General Practice Dentistry Dental Providers · License D14174 (MN) Secondary

122300000X Dentist Dental Providers · License 1002126-15 (WI) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Carson Cannon?

The National Provider Identifier (NPI) for Carson Cannon is 1063078210, a Type 1 (individual) record in the CMS NPPES registry.

Where does Carson Cannon practice?

The practice location on file with NPPES is in Stillwater, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-04.