=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992656284
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANESTHESIA ALTERNATIVES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9002 SIX PINES DR. SUITE #142
-----------------------------------------------------
City | SHENADOAH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77380
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-935-0251
-----------------------------------------------------
Fax | 832-827-4218
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9002 SIX PINES DR. SUITE #142
-----------------------------------------------------
City | SHENADOAH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77380
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-935-0251
-----------------------------------------------------
Fax | 832-827-4218
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. BRENT PHILIP KANAR
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 814-935-0251
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223D0004X
-----------------------------------------------------
Taxonomy Name | Dental Anesthesiology
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------