Individual provider Active NPI

William Michael Dancer, CRNA

  • Certified Registered Nurse Anesthetist
  • Cedar City, UT
National Provider Identifier
1275647828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
216546-4406 Issued in UT
Practice address
1303 N Main St
Cedar City, UT 84720-9746
Phone
(801) 993-9501
Fax
(801) 733-5872
NPI assigned
Aug 19, 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 216546-4406 UT Primary

Addresses

Primary practice location

1303 N Main St
Cedar City, UT 84720-9746

Mailing address

PO Box 2621
Cedar City, UT 84721-2621
Phone (435) 586-5151

Other identifiers 3

IdentifierTypeStateIssuer
80049OtherUTPEHP
107007068102OtherUTIHC
PR04680OtherUTMOLINA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000283 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769382951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Anesthesia Group LLPGroup PAC ID 0345240966, 11 clinicians

Practice addresses (Care Compare)

1303 N Main St
Cedar City, UT 84720-9746
Phone (435) 868-5800

1335 Northfield Rd
Suite 150
Cedar City, UT 84721-9335
Phone (435) 586-3402

Hospital & facility affiliations

  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Anesthesia Group LLP Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2007 Accepting new patients
William Michael Dancer Nurse Anesthetist, Certified Registered PastSince Jan 13, 2004 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Pathology Services PC Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1335 Northfield Rd
Ste 150
Cedar City, UT 84721
Phone (435) 586-1003

1811 W Royal Hunte Dr
#111
Cedar City, UT 84720
Phone (435) 586-3402

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275647828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2621",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847212621",
            "telephone_number": "435-586-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209746",
            "telephone_number": "801-993-9501",
            "fax_number": "801-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCER",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "216546-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "80049",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107007068102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PR04680",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

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.