Individual provider Active NPI

Dennis M McDonough, CRNA

  • Certified Registered Nurse Anesthetist
  • Lees Summit, MO
National Provider Identifier
1811945405
Registry record updated Oct 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
061827 Issued in MO
Practice address
2313 NW Summerfield Dr
Lees Summit, MO 64081-1921
Phone
(816) 918-3225
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 061827 MO Primary

Addresses

Primary practice location

2313 NW Summerfield Dr
Lees Summit, MO 64081-1921

Mailing address

2313 NW Summerfield Dr
Lees Summit, MO 64081-1921
Phone (816) 918-3225

Other identifiers 4

IdentifierTypeStateIssuer
912682176MedicaidMO
540568508MedicaidMO
029516OtherAANA COUNCIL NUMBER
1811945405MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, LLC CurrentSince Oct 1, 2015 Accepting new patients
Midwest Division - LRHC LLC CurrentSince May 19, 2014 Accepting new patients
St Lukes East Anesthesia Services,P.C. CurrentSince Jul 19, 2014 Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Professional Anesthetic Care Inc Past Accepting new patients

Locations

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

110 NE Saint Lukes Blvd
Ste 530
Lees Summit, MO 64086

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380931200000",
    "number": "1811945405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 NW SUMMERFIELD DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811921",
            "telephone_number": "816-918-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 NW SUMMERFIELD DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811921",
            "telephone_number": "816-918-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "061827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912682176",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540568508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA COUNCIL NUMBER",
            "identifier": "029516",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811945405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2013; 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.