Reef Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REEF DENTAL PLLC

Practice address

1233 S Cage Blvd Ste 104
Pharr, TX 78577-5964

Phone

(956) 380-2482

NPI assigned

Nov 8, 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, DDSNPI 1558687285

Title

Manager

Phone

(956) 380-2482

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahrouz Akhavan, D.D.S.

  • General Practice Dentistry
  • Edinburg, TX
  • NPI 1558687285
  NPD Authorized official

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1730724162",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 S CAGE BLVD STE 104",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775964",
            "telephone_number": "956-380-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "SHAHROUZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-380-2482",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlota Raygoza Garza
• Sabrina Lizette Rebollar
• Vincent Rebugio, AGNP-C
• Recovery Home Health Care Systems Inc
• Recovery Home Health Care Systems Inc.
• Regalcare Home Health Services, Inc.
• Rehab in Motion Inc
• Rehab Specialties, Inc.
• Rolando Javier Renteria Jr., COTA
• Mariano Resendez Jr., LCDC

• General Practice Dentistry in Pharr, TX
• Providers in Pharr, 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 Oct 4, 2024; 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.