Individual provider Active NPI

Dalton Blake Thames, CRNA

  • Certified Registered Nurse Anesthetist
  • Altus, OK
National Provider Identifier
1740797695
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
128248 Issued in OK
Practice address
1200 E Pecan St
Altus, OK 73521-6192
Phone
(580) 379-5000
NPI assigned
Jan 1, 2018
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 128248 OK Primary

Addresses

Primary practice location

1200 E Pecan St
Altus, OK 73521-6192

Mailing address

20756 E County Road 153
Blair, OK 73526-9129
Phone (318) 344-3621

Other practice location 1

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 402-2261

Other identifiers 1

IdentifierTypeStateIssuer
200747670AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DaltonThames@direct.jcmh.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122000780 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698034619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia of Enid LLCGroup PAC ID 5193823631, 12 clinicians

Practice addresses (Care Compare)

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 233-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2024 Accepting new patients
Anesthesia of Enid LLC CurrentSince Sep 1, 2025 Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

Interoperability endpoints

  • Direct secure messaging: daltonthames@direct.jcmh.com

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.

Hospital & facility affiliations 3

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": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1740797695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20756 E COUNTY ROAD 153",
            "city": "BLAIR",
            "state": "OK",
            "postal_code": "735269129",
            "telephone_number": "318-344-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216192",
            "telephone_number": "580-379-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017211",
            "country_code": "US",
            "telephone_number": "580-402-2261",
            "fax_number": "405-758-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAMES",
        "first_name": "DALTON",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "128248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200747670A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DaltonThames@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "1200 E Pecan St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735216141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.