Active NPI
Kyle Cliffton Dennis, CRNA
- Certified Registered Nurse Anesthetist
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C01542
- Practice address
- 2910 Jenny Lind Rd
Fort Smith, AR 72901-6735 - Phone
- (479) 785-2555
- Fax
- (479) 785-3555
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 4, 2009
- 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 | C01542 | AR | Primary |
Addresses
Primary practice location
2910 Jenny Lind Rd
Fort Smith, AR 72901-6735
Mailing address
PO Box 11286
Fort Smith, AR 72917-1286
Phone (479) 785-2555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159007001 | Medicaid | AR | |
| 200073830A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 S 79TH St
Fort Smith, AR 72903-6255
Phone (479) 785-2555
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C01542 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Anesthesia PA | Current | Accepting new patients | |
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| Western Arkansas Anesthesiology Associates P.a. | Current | Accepting new patients | |
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Western Arkansas Obstetric Anesthesia LLC | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| River Valley Anesthesia Associates, P. a. | Past | Accepting new patients |
Locations
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
3601 S 79th St
Fort Smith, AR 72903
Phone (479) 314-4723
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1184889842
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1215755947
Nurse Anesthetist, Certified Registered
-
dba Arkansas Health Group Anesthesia
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1548202294
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1952671703
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1417967472
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1891807947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11286",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171286",
"telephone_number": "479-785-2555",
"fax_number": "479-785-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729016735",
"telephone_number": "479-785-2555",
"fax_number": "479-785-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "KYLE",
"middle_name": "CLIFFTON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C01542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159007001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200073830A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.