Deep Sea Dental PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DEEP SEA DENTAL PLLC

Practice address

603 South Expressway 83
Suite H2
Harlingen, TX 78550

Phone

(956) 380-2482

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Shahrouz AkhavanNPI 1558687285

Title

Member

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1912462136",
    "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": "603 SOUTH EXPRESSWAY 83",
            "address_2": "SUITE H2",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-380-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP SEA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "SHAHROUZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-380-2482"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Aguirre De Osio, RN
• Maribel De Ponce, PA-C
• Cristina Celia De Roulac, PT, DPT
• De Santi Counseling Services
• Nadine Alysse Decilos
• Sheree R Deese, LVN
• Esmeralda Yazmin Del Angel-Ocampo, LVN
• Irvin Del Angel, MD
• Ivan Del Bosque
• Regina Nichole Del Bosque, PHARM.D.

• Oral and Maxillofacial Surgery (Dentist) in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.