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DENNIS WILLIAM JACKS CRNA NPI 1063790079


NPI Information

NPI: 1063790079
Provider Name: DENNIS WILLIAM JACKS, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: ARKANSAS ANESTHESIA ASSOCIATES PLLC Address:
6119 MIDTOWN AVE
SUITE 201
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 664-4532
Get Directions

Dennis William Jacks, CRNA is a nurse anesthetist certified registered in Little Rock, AR with 13 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Dennis William Jacks, CRNA NPI is 1063790079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6119 MIDTOWN AVE
SUITE 201
LITTLE ROCK, AR
ZIP 72205-313
Phone: (501) 664-4532
Fax: (501) 663-4335

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)

The enumeration date for this NPI number is 7/25/2011 and was last updated on 6/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseR070488ARKANSASNo
2367500000XNurse Anesthetist, Certified RegisteredC002870ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14A100C752MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.