Individual provider Active NPI

Dennis Wayne King, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1174555833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01452 CRNA Issued in AR
Practice address
446 County Road 7592
Jonesboro, AR 72401-7767
Phone
(870) 910-0347
NPI assigned
Jul 6, 2006
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 C01452 CRNA AR Primary

Addresses

Primary practice location

446 County Road 7592
Jonesboro, AR 72401-7767

Mailing address

446 County Road 7592
Jonesboro, AR 72401-7767
Phone (870) 910-0347

Other identifiers 1

IdentifierTypeStateIssuer
5X686OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000130 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446240451 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Practice addresses (Care Compare)

3327 S Division
Blytheville, AR 72315-5123
Phone (870) 762-1942

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

Hospital & facility affiliations

  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01452 CRNAARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain & the Gas, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2018 Accepting new patients
Mountain Home Surgery Center CurrentSince Aug 28, 2017 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jun 25, 2024 Accepting new patients
Ozark Eye Center, PA CurrentSince Aug 28, 2017 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Arkansas Methodist Hospital Corporation CurrentSince Jul 1, 2018 Accepting new patients
Arkansas Methodist Hospital Corporation CurrentSince Jul 1, 2018 Accepting new patients
Jonesboro Anesthesia Inc CurrentSince Jul 1, 2018 Accepting new patients
Northeast Arkansas Health System LLC Past Accepting new patients
Kennett Hma Physician Management, LLC Past Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Past Accepting new patients

Locations

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

160 Highway 201 N
Mountain Home, AR 72653
Phone (870) 508-2100

360 Highway 5 N
Mountain Home, AR 72653
Phone (870) 425-2277

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

400 10th St E
Waconia, MN 55387

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174555833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 COUNTY ROAD 7592",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017767",
            "telephone_number": "870-910-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 COUNTY ROAD 7592",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017767",
            "telephone_number": "870-910-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01452 CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X686",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

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.