NPIMap

Individual provider Active NPI

Dylan Keith Griffin, CRNA

  • Certified Registered Nurse Anesthetist
  • Searcy, AR
National Provider Identifier
1770858854
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CO2913 Issued in AR
Practice address
119 W Market Ave
Searcy, AR 72143-7702
Phone
(501) 279-2426
Fax
(501) 279-2501
NPI assigned
Mar 21, 2012
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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 CO2913 AR Primary
Registered Nurse 163W00000X R72763 AR

Addresses

Primary practice location

119 W Market Ave
Searcy, AR 72143-7702

Mailing address

PO Box 144
Searcy, AR 72145-0144
Phone (501) 279-2426

Other identifiers 1

IdentifierTypeStateIssuer
193554001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000745 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749446276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Management Assoc., P.a.Group PAC ID 1456240209, 13 clinicians

Practice addresses (Care Compare)

3214 E Race St
Searcy, AR 72143-4810
Phone (501) 268-6121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R72763ARMDRegistered Nurse
CO2913ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
Anesthesia and Pain Management Assoc., P.a. CurrentSince May 21, 2012 Accepting new patients
White County Medical Center CurrentSince Feb 1, 2015 Accepting new patients
White County Medical Center CurrentSince Feb 1, 2015 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

119 W Market Ave
Searcy, AR 72143
Phone (501) 279-2426

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

710 Marion St
Ste 101
Searcy, AR 72143

Organizations & group practices 6

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1770858854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721450144",
            "telephone_number": "501-279-2426",
            "fax_number": "501-279-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MARKET AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437702",
            "telephone_number": "501-279-2426",
            "fax_number": "501-279-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DYLAN",
        "middle_name": "KEITH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CO2913",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R72763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193554001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.