DEEP SEDATION P.C. (NPI# 1376152165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376152165 |
| Entity Type | Organization |
| Organization Name | DEEP SEDATION P.C. |
| Practice Address |
825 E Rundberg Ln Ste A1 Austin TX 78753-4809 |
| Mailing Address |
1401 Lavaca St # 724 Austin TX 78701-1634 |
| Practice Telephone | 9093040582 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | CHAMANDEEP BRAR (PRESIDENT) |
| Authorized Official Telephone | 9093040582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
Dental Providers |
| Street Address |
825 E RUNDBERG LN STE A1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649327941 | Arcil | Clinic/Center | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2007-01-05 |
| 1275143182 | Saeid Abbasiyan | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2020-08-05 |
| 1669033452 | Minal Jain | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2019-06-24 |
| 1013458942 | Hieu Pham | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265914923 | Hill Country Special Care Dental Center, Pllc | Dentist | 30745 Us Highway 281 N # 103, Bulverde, TX 78163-3291 | 2018-08-29 |
| 1811363807 | Ryne Patrick Wilson | Dentist | 4500 Narrowbrook Dr, Flower Mound, TX 75028-6030 | 2015-08-13 |
| 1386052751 | Vmax Dental | Dentist | 110 N Preston Rd, Suite 10, Prosper, TX 75078-8643 | 2014-07-29 |
| 1194148841 | Albert Kang, Dds Inc | Dentist | 22202 Estate Hill Dr Apt 15207, San Antonio, TX 78258-3550 | 2014-01-31 |
| 1093147852 | Albert Byoungoh Kang | Dentist | 22202 Estate Hill Dr # 15207, San Antonio, TX 78258-3398 | 2013-08-04 |
| 1518276740 | Hunter Ross Stuart II | Dentist | 2408 N Fielder Rd, Arlington, TX 76012-5531 | 2010-10-05 |
| 1649426891 | Mohit Sharda | Dentist | 5999 Custer Rd, Suite # 125, Frisco, TX 75035-9302 | 2008-08-07 |
| 1871759621 | Iris Lo | Dentist | 3401 Royal Vista Blvd Ste A100, Round Rock, TX 78681-1149 | 2008-07-31 |
| 1154500247 | Andrea M Bell | Dentist | 625 El Gusto Dr, El Paso, TX 79912-2517 | 2007-10-25 |
| 1114050002 | Bryan Neal Henderson II | Dentist | 8325 Walnut Hill Ln Ste 235, Dallas, TX 75231-4255 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.