Organization Active NPI

Deep Sedation P.C.

  • Dental Anesthesiology
  • Austin, TX
National Provider Identifier
1376152165
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
DEEP SEDATION P.C.
Practice address
825 E Rundberg LN Ste A1
Austin, TX 78753-4809
Phone
(909) 304-0582
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Chamandeep BrarNPI 1609300722
Title
President
Phone
(909) 304-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

825 E Rundberg LN Ste A1
Austin, TX 78753-4809

Mailing address

1401 Lavaca St # 724
Austin, TX 78701-1634

National Provider Directory

National Provider Directory

Locations

1401 Lavaca St
Austin, TX 78701
Phone (512) 348-8468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1376152165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LAVACA ST # 724",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E RUNDBERG LN STE A1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534809",
            "telephone_number": "909-304-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP SEDATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-09-06",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "CHAMANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-304-0582"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.