Dale Kenneth Denton Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0086924 Issued in OK

Practice address

205 W Maple Ave
Suite 301
Enid, OK 73701-4026

Phone

(580) 548-1106

Fax

(580) 233-8802

NPI assigned

Oct 5, 2006

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Management Inc

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1679521355
  NPD (past)
• St Marys Anesthesia Group

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1629010269
  NPD (past)
• Anesthesia Services of Memphis, PLLC

  • Certified Registered Nurse Anesthetist
  • Cordova, TN
  • NPI 1568571610

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Medical Anesthesia Group, PA

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1679527501
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1952497299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HATTON COVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177395",
            "telephone_number": "901-850-9390",
            "fax_number": "901-850-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MAPLE AVE",
            "address_2": "SUITE 301",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014026",
            "telephone_number": "580-548-1106",
            "fax_number": "580-233-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "DALE",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0086924",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3604755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Delaware
• Van Dale Demille, DDS
• Darci L Dennis, MED CCC SLP
• Dental Arts Group
• Dental Solutions LLC
• Anabel Desecottier, B.S. PSY
• Richard Lynn Devaughn, DDS
• Randy Dewitt
• Francisco Huguet Dexeus, M.D.
• Diagnostic Laboratory of Oklahoma LLC

• Certified Registered Nurse Anesthetist in Enid, OK
• Providers in Enid, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.