Active NPI
Dennis Christopher Heffernan, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 076366
- Practice address
- 2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Jul 17, 2007
- 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 | 076366 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone (713) 620-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87184U | Other | TX | BLUE CROSS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
7777 Hennessy Blvd
Suite 215
Baton Rouge, LA 70808-4365
Phone (225) 456-5383
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076366 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Professionals, Inc. | Current | Accepting new patients | |
| Dpi of Louisiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Letheon Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Group Associates Inc | Current | Accepting new patients |
Locations
505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950
9001 Summa Ave
Ste 346
Baton Rouge, LA 70809
Phone (225) 515-5700
7777 Hennessy Blvd
Ste 215
Baton Rouge, LA 70808
Phone (225) 456-5383
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143
71070 Highway 21
Covington, LA 70433
Phone (225) 456-5383
6550 Main St
Zachary, LA 70791
Phone (225) 658-6780
6300 Main St
Zachary, LA 70791
Phone (225) 570-2618
4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100
6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357
Organizations & group practices 4
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
- NPI 1619543055
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1700923992
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1679772800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFERNAN",
"first_name": "DENNIS",
"middle_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "076366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "87184U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.