Active NPI
David Brent Aguillard, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 657733
- Practice address
- 13601 Preston Rd
Dallas, TX 75240-4911 - Phone
- (972) 715-5007
- Fax
- (972) 715-5682
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 657733 | TX | Primary |
Addresses
Primary practice location
13601 Preston Rd
Dallas, TX 75240-4911
Mailing address
13601 Preston Rd
Dallas, TX 75240-4911
Phone (972) 715-5007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 657733 | Other | TX | TSBNE |
| RN087475 | Other | LA | RN087475 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients |
Locations
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811073513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-715-5007",
"fax_number": "972-715-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-715-5007",
"fax_number": "972-715-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILLARD",
"first_name": "DAVID",
"middle_name": "BRENT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "657733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TSBNE",
"identifier": "657733",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN087475",
"identifier": "RN087475",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.