Organization Active NPI

Dr. Deep Agee PA

  • General Practice Dentistry
  • Casselberry, FL
National Provider Identifier
1790901213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. DEEP AGEE PA
Practice address
400 State Rd 436
Suite 100
Casselberry, FL 32707
Phone
(407) 339-2442
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deep Agee, GENERAL DENTISTNPI 1306065263
Title
Dentist, President
Phone
(407) 339-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

400 State Rd 436
Suite 100
Casselberry, FL 32707

Mailing address

400 State Rd 436
Suite 100
Casselberry, FL 32707
Phone (407) 339-2442

National Provider Directory

National Provider Directory

Locations

400 State Road 436
Ste 100
Casselberry, FL 32707
Phone (407) 339-2442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790901213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE RD 436",
            "address_2": "SUITE 100",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-339-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE RD 436",
            "address_2": "SUITE 100",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-339-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEEP AGEE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "DEEP",
        "authorized_official_title_or_position": "DENTIST, PRESIDENT",
        "authorized_official_telephone_number": "407-339-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "GENERAL DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.