Individual provider Active NPI

Dex Esmeralda

  • Certified Registered Nurse Anesthetist
  • Plantation, FL
National Provider Identifier
1588345136
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1167636 Issued in TX
Practice address
329 N State Road 7 Apt 6106
Plantation, FL 33317-2881
Phone
(469) 766-6524
NPI assigned
Jul 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9598492 FL
Certified Registered Nurse Anesthetist 367500000X 1167636 TX Primary

Addresses

Primary practice location

329 N State Road 7 Apt 6106
Plantation, FL 33317-2881

Mailing address

329 N State Road 7 Apt 6106
Plantation, FL 33317-2881
Phone (469) 766-6524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004453 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789121823 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Greater Houston Anesthesiology
Plano, TX 75075-7738
Phone (972) 519-1115

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

PO Box
Suite 612867
Dallas, TX 75261-2867

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9598492FLMDCritical Care Medicine Registered Nurse
1167636TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2025 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince May 26, 2024 Accepting new patients

Locations

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 5

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1588345136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N STATE ROAD 7 APT 6106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172881",
            "telephone_number": "469-766-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N STATE ROAD 7 APT 6106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172881",
            "telephone_number": "469-766-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMERALDA",
        "first_name": "DEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9598492",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1167636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.