Individual provider Active NPI

Meng Seth, CRNA

  • Certified Registered Nurse Anesthetist
  • Mineral Wells, TX
National Provider Identifier
1689612657
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000792 Issued in SD
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 328-6227
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 125656 TX
Certified Registered Nurse Anesthetist 367500000X CR000792 SD Primary

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Mailing address

528 Middle Valley Dr
Rapid City, SD 57701-6304
Phone (605) 858-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070323000222 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719924711 Reassigns benefits to 2 organizations
I20120815000174 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719924711 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TTB Services Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Feb 14, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jun 1, 2025 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2018 Accepting new patients
Black Hills Surgical Hospital, LLC Current Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Aug 1, 2012 Accepting new patients
Avera McKennan CurrentSince Jan 29, 2018 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Black Hills Surgical Hospital, LLP Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 13

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 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1689612657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MIDDLE VALLEY DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016304",
            "telephone_number": "605-858-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETH",
        "first_name": "MENG",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "125656",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.