NPIMap

Organization Active NPI

Suite Dreams Anesthesia & Aesthetic Surgical Consultants

  • Certified Registered Nurse Anesthetist
  • Corinth, TX
National Provider Identifier
1790189421
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP121487 Issued in TX
Legal business name
SUITE DREAMS ANESTHESIA & AESTHETIC SURGICAL CONSULTANTS
Practice address
2704 Warwick Dr
Corinth, TX 76210-6488
Phone
(817) 938-1799
Fax
(940) 498-1374
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Mr. Robert Paul Beck, DNP, CRNANPI 1699044974
Title
Owner/Ceo
Phone
(817) 938-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Ambulatory Surgical Clinic/Center 261QA1903X TX
Pain Clinic/Center 261QP3300X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X AP121487 TX Primary

Addresses

Primary practice location

2704 Warwick Dr
Corinth, TX 76210-6488

Mailing address

2704 Warwick Dr
Corinth, TX 76210-6488
Phone (817) 938-1799

Other names 1

  • Aesthetic Surgical Institute Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1790189421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 WARWICK DR",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762106488",
            "telephone_number": "817-938-1799",
            "fax_number": "940-498-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 WARWICK DR",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762106488",
            "telephone_number": "817-938-1799",
            "fax_number": "940-498-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE DREAMS ANESTHESIA & AESTHETIC SURGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "817-938-1799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP121487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Surgical Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corinth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.