Individual provider Active NPI

Warren R Dill, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, TX
National Provider Identifier
1164543021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
687910 Issued in TX
Practice address
2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885
Phone
(432) 699-0306
Fax
(432) 520-2181
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 687910 TX Primary

Addresses

Primary practice location

2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885

Mailing address

PO Box 4157
Midland, TX 79704-4157
Phone (432) 699-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000471 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901999069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ccec Anesthesia Management LLCGroup PAC ID 2567738586, 2 clinicians

Practice addresses (Care Compare)

6421 Saratoga Blvd
BLDG 105
Corpus Christi, TX 78414-3480
Phone (361) 985-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ccec Anesthesia Management LLC CurrentSince Oct 15, 2017 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2021 Accepting new patients

Locations

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164543021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044157",
            "telephone_number": "432-699-0306",
            "fax_number": "432-520-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 W CUTHBERT AVE",
            "address_2": "BUILDING B, STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013885",
            "telephone_number": "432-699-0306",
            "fax_number": "432-520-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "WARREN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "687910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.