Active NPI
John A Chaucer, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 709225
- Practice address
- 6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6524 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Dec 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 709225 | TX | Primary |
Addresses
Primary practice location
6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6524
Mailing address
PO Box 840853
Dallas, TX 75284-0426
Phone (972) 715-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224617 | Other | TX | DRIVER LICENSE |
| 199514402 | Medicaid | TX | |
| 89694U | Other | TX | BCBS |
| 709225 | Other | TX | STATE LICENSE |
| P00679407 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3920 W Wheatland Rd
Suite 108
Dallas, TX 75237-3401
Phone (713) 575-3686
5425 W Spring Creek Pkwy
Suite 100
Plano, TX 75024-4268
Phone (469) 945-6814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709225 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alliance Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343
17110 Dallas Pkwy
Ste 105
Dallas, TX 75248
Phone (972) 483-5714
3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779
17950 Preston Rd
Ste 120
Dallas, TX 75252
Phone (214) 915-8979
2001 Cooper St
Ft Worth, TX 76104
Phone (817) 334-0990
7201 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (817) 727-0985
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1699218149
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1376592329
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1366688285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840426",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LYNDON B JOHNSON FWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406524",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUCER",
"first_name": "JOHN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "709225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "2224617",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199514402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89694U",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "709225",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00679407",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.