Active NPI
Dreamworks Anesthesia PC
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
National Provider Identifier
1750809265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryNPI 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.