Active NPI
Dakota Anesthesia Inc
- Certified Registered Nurse Anesthetist
- Elk City, OK
National Provider Identifier
1396715348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- DAKOTA ANESTHESIA INC
- Practice address
- 1705 W 2ND St
Elk City, OK 73644-4455 - Phone
- (580) 225-2511
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Haecherl, CRNA
- Title
- President
- Phone
- (580) 225-2511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1705 W 2ND St
Elk City, OK 73644-4455
Mailing address
PO Box 47923
Wichita, KS 67201-7923
Phone (316) 685-6236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100742100A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1396715348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47923",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017923",
"telephone_number": "316-685-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 W 2ND ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736444455",
"telephone_number": "580-225-2511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA ANESTHESIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "HAECHERL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "580-225-2511",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100742100A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.