Provider Demographics
NPI:1164524732
Name:CUMMINGS, DENNIS (CRNA)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 COLLEGE BLVD
Mailing Address - Street 2:SUITE #103
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1613
Mailing Address - Country:US
Mailing Address - Phone:913-888-2237
Mailing Address - Fax:913-541-5610
Practice Address - Street 1:5001 COLLEGE BLVD
Practice Address - Street 2:SUITE #103
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1613
Practice Address - Country:US
Practice Address - Phone:913-888-2237
Practice Address - Fax:913-541-5610
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54438367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSE784326Medicare ID - Type UnspecifiedKC MEDICARE
KSR30474Medicare UPIN
KS145125Medicare ID - Type UnspecifiedKS MEDICARE