Dennis C Macieski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

N-18888 Issued in ID

Practice address

2325 Coronado St
Idaho Falls, ID 83404-7407

Phone

(208) 552-2700

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Eagle Rock Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Idaho Falls, ID
  • NPI 1174602684

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Eagle Rock Anesthesia, PLLC

  • Anesthesiology Physician
  • Idaho Falls, ID
  • NPI 1871761395
  NPD (past)
• W.Michael Crosby M.D. PC

  • Anesthesiology Physician
  • Gillette, WY
  • NPI 1093063596
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1225065196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3206",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033206",
            "telephone_number": "208-523-4609",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-552-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIESKI",
        "first_name": "DENNIS",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-18888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004378000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machen Family Dentistry PC
• Machen Family Medicine, PC
• Esther B. Machen, DDS
• Shane Gary Machen, D.O.
• Macieski Crna PC
• Megan Michelle Macneil
• Analiese Madder
• Katie Diane Maddock
• Madison Avenue Surgery Center LLC
• Madison Avenue Surgery Center LLC

• All providers in Idaho Falls, ID
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.