Agua Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25304 Issued in TX

Legal business name

AGUA DENTISTRY, PLLC

Practice address

307 E University Dr
Edinburg, TX 78539-3549

Phone

(818) 968-6260

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shahrouz Akhavan, D.D.S.

Title

Dentist/Owner

Phone

(818) 968-6260

Specialties & licenses 1

Addresses

Other names 1

• Agua Dental Doing business as

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1194089771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393549",
            "telephone_number": "818-968-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393549",
            "telephone_number": "818-968-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUA DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "SHAHROUZ",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-968-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agua Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advancing Together
• Jonathan Afari, MD
• Zeeshan Afzal, M.D.
• Adrian Paolo Agapito, M.D.
• Motolani Ayokunle Agbe-Davies
• Valerie Aguero Olivarez, LPC
• Diego Andres Aguilar Palacios, M.D
• Abel Arnoldo Aguilar
• Abraham Aguilar, OTD
• Aileen Arlene Aguilar, MD

• General Practice Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.