Children'S Dental Anesthesia Group, Inc.

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

FNP38903 Issued in CA

Legal business name

CHILDREN'S DENTAL ANESTHESIA GROUP, INC.

Practice address

747 52ND St
Dept. Anesthesiology
Oakland, CA 94609-1809

Phone

(510) 295-7913

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kenneth Austin, M.D.

Title

President

Phone

(510) 295-7913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1801025408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "DEPT. ANESTHESIOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-295-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "DEPT. ANESTHESIOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-295-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ANESTHESIA GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-295-7913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "FNP38903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Therapy Institute of Marin
• Kenneth Lloyd Childers, DDS
• Children'S Clinic Pharmacy
• Children'S Clinic Pharmacy
• Children'S Critical Care Medical Group, Inc.
• Children'S Hopsital and Research Center at Oakland
• Children'S Hospital & Reasearch Center Oakland
• Children'S Hospital & Research Center at Oakland
• Children'S Hospital & Research Center at Oakland
• Children'S Hospital & Research Center at Oakland

• Pediatric Anesthesiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.