DR. DALLAS D. REGAN (CRNA, DNP) – Certified Registered Nurse Anesthetist, NPI 1053323170

DR. DALLAS D. REGAN (CRNA, DNP) is a healthcare provider. based in Portland, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, DNP. They hold a License No. 201403680CRNA (OR). The NPI Number for DR. DALLAS D. REGAN (CRNA, DNP) is 1053323170

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLAS D. REGAN (CRNA, DNP)
NPI
1053323170
Phone
(503) 494-7641
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
13 August 2006
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037692175
Graduation Year
2009 (17 years ago)
PAC ID
0648276055
Group Practice PAC ID
6103729751
Professional Enrollment ID
I20140811001909
Address ID
OR973831311ST1401XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

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Provider Addresses for DR. DALLAS D. REGAN (CRNA, DNP)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 494-7641

    Type: Location

  • 100, Overlook Terrace, Hudson Heights, Manhattan Community Board 12, Manhattan, New York County, New York, 10040, United States

    #62

    NEW YORK, NY 100403852

    Phone: (917) 698-3688

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140811001909ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20221028000455ICertified Registered Nurse Anesthetist (Crna)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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Provider's Procedures

DR. DALLAS D. REGAN (CRNA, DNP) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOR00142Anesthesia for lens surgery1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103729751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Emergency MedicineOR
Physician AssistantOR
Physician AssistantOR
Emergency MedicineOR
-OR
Emergency MedicineOR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

Can I verify DR. DALLAS D. REGAN (CRNA, DNP) with an NPI only?
You can start verification with NPI 1053323170 for DR. DALLAS D. REGAN (CRNA, DNP), then check state licensing separately.
Can I rely on DR. DALLAS D. REGAN (CRNA, DNP) being an active provider?
As of the registry snapshot, DR. DALLAS D. REGAN (CRNA, DNP) is marked active.
What is DR. DALLAS D. REGAN (CRNA, DNP)'s specialty?
The listing groups DR. DALLAS D. REGAN (CRNA, DNP) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does DR. DALLAS D. REGAN (CRNA, DNP) list a practice location?
Patients near Portland, Oregon may find DR. DALLAS D. REGAN (CRNA, DNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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