NPIMap

Organization Active NPI

Dream Team Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1215629464
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
DREAM TEAM ANESTHESIA, LLC
Practice address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone
(501) 219-8900
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Jeff Myers, CRNA
Title
Member
Phone
(501) 413-1150

Specialties & licenses 1

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

Addresses

Primary practice location

1300 Centerview Dr
Little Rock, AR 72211-4349

Mailing address

8 Leeward CT
Maumelle, AR 72113-7011
Phone (501) 413-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230706002251 AR Part B Supplier - Clinic/Group Practice 8820457021 Receives reassigned benefits from 32 practitioners
Practice locations: White Hall, AR; Searcy, AR; North Little Rock, AR; Little Rock, AR; Fort Smith, AR; Bentonville, AR; Conway, AR
O20250909003455 TX Part B Supplier - Clinic/Group Practice 8820457021 Receives reassigned benefits from 2 practitioners
Practice locations: Texarkana, TX

National Provider Directory

National Provider Directory

Locations

2902 Mid Cities Dr
Ste A
Bentonville, AR 72712

2425 Dave Ward Dr
Ste A
Conway, AR 72034

8306 Massard Creek Ct
Ste A
Fort Smith, AR 72903

9101 Kanis Rd
Ste 400
Little Rock, AR 72205
Phone (501) 978-8618

1115 S Main St
Ste A
Searcy, AR 72143

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1215629464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LEEWARD CT",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137011",
            "telephone_number": "501-413-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-413-1150",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.