Coral Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORAL DENTAL PLLC

Practice address

6503 S Cage Blvd
Pharr, TX 78577-9182

Phone

(956) 380-2482

Fax

(956) 380-1084

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Shahrouz Akhavan

Title

Dentist

Phone

(956) 380-2482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1295291904",
    "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": "956-380-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785779182",
            "telephone_number": "956-380-2482",
            "fax_number": "956-380-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "SHAHROUZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-380-2482"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Lisa Cobos, R.PH
• Kristine P Cody, DDS
• Comprehensive Therapy Center, LLC
• Con Encanto Healthcare, LLC
• Concierx LLC
• Jerry Eugene Cormier, APT; CRTS
• Shalom Yael Corona, SLP-INTERN
• Jesus E Corpus, EMT-LP, RN, MSN, FNP
• Eddie Cortes
• Costco Wholesale Corporation

• Dental Clinic/Center in Pharr, TX
• Providers in Pharr, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.