Individual provider Active NPI

Bryan Keith Dehner, NURSE ANESTHETIST

  • Certified Registered Nurse Anesthetist
  • Dayton, OH
National Provider Identifier
1285771634
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019935 Issued in OH
Practice address
2607 Saint Anne Way
Dayton, OH 45458-3895
Phone
(619) 384-9013
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 667489 CA
Certified Registered Nurse Anesthetist 367500000X 178376-030 WI
Certified Registered Nurse Anesthetist 367500000X 209.008888 IL
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019935 OH Primary

Addresses

Primary practice location

2607 Saint Anne Way
Dayton, OH 45458-3895

Mailing address

3050 Trail Crest LN
Lindenhurst, IL 60046-4999
Phone (619) 384-9013

Other practice location 1

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-6066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107002524 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092979955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 866-0551

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

600 W Main St
Kettering Health Troy
Troy, OH 45373-3384
Phone (937) 980-7000

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
667489CAMDRegistered Nurse
209.008888ILMDCertified Registered Nurse Anesthetist
APRN.CRNA.019935OHMDCertified Registered Nurse Anesthetist
178376-030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Gi Anesthesia, LLC CurrentSince Oct 18, 2019 Accepting new patients
Anesthesia Services of Greater Dayton, LLC Registered Nurse CurrentSince Mar 2, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2020 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

4235 Indian Ripple Rd
Ste 110
Dayton, OH 45440
Phone (937) 427-7800

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

4200 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-5050

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

Organizations & group practices 6

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 3

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1285771634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 TRAIL CREST LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464999",
            "telephone_number": "619-384-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 SAINT ANNE WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583895",
            "telephone_number": "619-384-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Elisha Ave",
            "address_purpose": "LOCATION",
            "city": "Zion",
            "state": "IL",
            "postal_code": "600992676",
            "country_code": "US",
            "telephone_number": "847-872-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNER",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "NURSE ANESTHETIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "667489",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "178376-030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.008888",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.