Active NPI
Brent Philip Kanar, DMD
- Dentist
- Shenandoah, TX
National Provider Identifier
1417203480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30837
- Practice address
- 9002 Six Pines Dr.
Suite #142
Shenandoah, TX 77380 - Phone
- (814) 935-0251
- Fax
- (832) 827-4218
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 30837 | TX | |
| Dentist | 122300000X | DS039170 | PA | |
| Dentist | 122300000X | 30837 | TX | Primary |
Addresses
Primary practice location
9002 Six Pines Dr.
Suite #142
Shenandoah, TX 77380
Mailing address
9002 Six Pines Dr.
Suite #142
Shenandoah, TX 77380
Phone (814) 935-0251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039170 | PA | MD | Dentist |
| 30837 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Alternatives, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Shenadoah, TX
- NPI 1992656284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1417203480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 SIX PINES DR.",
"address_2": "SUITE #142",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77380",
"telephone_number": "814-935-0251",
"fax_number": "832-827-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 SIX PINES DR.",
"address_2": "SUITE #142",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77380",
"telephone_number": "814-935-0251",
"fax_number": "832-827-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAR",
"first_name": "BRENT",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "TX",
"license": "30837",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039170",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.