Dennis William Jacks, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C002870 Issued in AR

Practice address

6119 Midtown Ave
Suite 201
Little Rock, AR 72205-5313

Phone

(501) 664-4532

Fax

(501) 663-4335

NPI assigned

Jul 25, 2011

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
• Arkansas Heart Hospital-Encore Hospital, Bryant, AR, CCN 040161

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Anesthesia Associates, PLLC.

  • Anesthesiology Physician
  • Benton, AR
  • NPI 1497023360
  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212

  Hospital

  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1790775229
  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Encore

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  Care Compare affiliation
• Saline Hospital LLC

  dba Saline Memorial Hospital

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1063790079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055313",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055313",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002870",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R070488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Stephens Heart Institute LLC
• Sylvia Denise Jack, RN
• Jackie L. Smith, DDS, PLLC
• Russell Jackman, D.C.
• Blake Brickey Jacks, M.D.
• Myoshi Bernadette Jackson-Austin, APN
• Lenora Jackson-Ayers, LMSW
• A. Gail Jackson, MS, SLP
• Alexis Jackson, CD-L, CD-PIC
• Alissa Honghiran Jackson, PT

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.