Organization Active NPI

Anesthesia and Tee Services, PC

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1861722357
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13102 Issued in OK
Legal business name
ANESTHESIA AND TEE SERVICES, PC
Practice address
149 Lake Aluma Dr
Oklahoma City, OK 73121-3401
Phone
(405) 478-1555
Fax
(405) 478-0549
NPI assigned
Jan 5, 2010
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. David Lee Dautenhahn, M.D.
Title
President
Phone
(405) 919-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13102 OK Primary

Addresses

Primary practice location

149 Lake Aluma Dr
Oklahoma City, OK 73121-3401

Mailing address

149 Lake Aluma Dr
Oklahoma City, OK 73121-3401
Phone (405) 478-1555

Other identifiers 1

IdentifierTypeStateIssuer
100111220AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1861722357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 LAKE ALUMA DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731213401",
            "telephone_number": "405-478-1555",
            "fax_number": "405-478-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LAKE ALUMA DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731213401",
            "telephone_number": "405-478-1555",
            "fax_number": "405-478-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA AND TEE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "DAUTENHAHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-919-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.