Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Robert David Cannon, M.D.

Interventional Pain Medicine Physician in Fayetteville, AR · enumerated 2006 · practices at Rooted Family Care Pllc.

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

National Provider Identifier

1104806702

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Registry record

Entity type Individual (Type 1)

Name Dr. Robert David Cannon

Credential M.D.

Sex Male

Practice address Fayetteville, AR, 72703

Phone (479) 582-2800

Fax (479) 582-2922

Enumeration date Jan 19, 2006

Last updated in NPPES Mar 12, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License C8066 (AR) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License C-8066 (AR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
127592001	Medicaid	AR	-

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 Robert Cannon?

The National Provider Identifier (NPI) for Robert Cannon is 1104806702, a Type 1 (individual) record in the CMS NPPES registry.

Where does Robert Cannon practice?

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

Other providers at this practice address

Browse all →

Jeffrey Bearden Family Medicine Physician · Fayetteville, AR NPI 1992768105 Debra Barker Family Nurse Practitioner · Fayetteville, AR NPI 1316272057 Bailee Lutz Family Medicine Physician · Fayetteville, AR NPI 1598227787 Rooted Family Care Pllc Family Medicine Physician · Fayetteville, AR NPI 1366277295 Victoria Peckenpaugh Family Nurse Practitioner · Fayetteville, AR NPI 1033928098

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-12.