Individual provider Active NPI

Jeffrey Denton

  • Certified Registered Nurse Anesthetist
  • Lebanon, OH
National Provider Identifier
1326596875
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
459217 Issued in OH
Practice address
1720 Red Clover Dr
Lebanon, OH 45036-4094
Phone
(248) 804-0145
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704329442 MI
Certified Registered Nurse Anesthetist 367500000X 459217 OH Primary
Licensed Practical Nurse 164W00000X 4703115986 MI

Addresses

Primary practice location

1720 Red Clover Dr
Lebanon, OH 45036-4094

Mailing address

1720 Red Clover Dr
Lebanon, OH 45036-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230119000700 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446621098 Reassigns benefits to 2 organizations
I20260221000472 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446621098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

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

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876

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

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704329442MIMDCritical Care Medicine Registered Nurse
4703115986MIMDLicensed Practical Nurse
459217OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group CurrentSince Feb 23, 2026 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Feb 23, 2026 Accepting new patients
Munson Medical Group Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2026 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Cadillac Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2026 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 23, 2026 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Jan 1, 2026 Accepting new patients
Munson Healthcare Charlevoix Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2026 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2026 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 23, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

3775 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

Organizations & group practices 16

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 16

Hospital & facility affiliations 4

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1326596875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 RED CLOVER DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450364094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 RED CLOVER DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450364094",
            "telephone_number": "248-804-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704329442",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "459217",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703115986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.