Organization Active NPI

Dreamworks Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Idaho Falls, ID
National Provider Identifier
1750809265
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
DREAMWORKS ANESTHESIA PC
Practice address
1855 Madison Ave
Idaho Falls, ID 83404-1212
Phone
(208) 881-5351
Fax
(208) 881-5351
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Emily Munns, CRNA
Title
President
Phone
(423) 883-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1855 Madison Ave
Idaho Falls, ID 83404-1212

Mailing address

190 Stillwater Dr
Idaho Falls, ID 83404-8296
Phone (423) 883-2821

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1750809265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STILLWATER DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048296",
            "telephone_number": "423-883-2821",
            "fax_number": "208-881-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 MADISON AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041212",
            "telephone_number": "208-881-5351",
            "fax_number": "208-881-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MUNNS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-883-2821",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.