Rodeo Dental Southmost PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23066 Issued in TX

Legal business name

RODEO DENTAL SOUTHMOST PLLC

Practice address

2950 Southmost Rd
103
Brownsville, TX 78521-4787

Phone

(817) 534-7325

Fax

(817) 534-4429

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Raffy Kouyoumdjian, D.M.D

Title

Owner

Phone

(818) 653-9799

Specialties & licenses 2

Addresses

Other names 1

• Rodeo Dental Doing business as

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1013217579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SOUTHMOST RD",
            "address_2": "103",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214787",
            "telephone_number": "817-534-7325",
            "fax_number": "817-534-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SOUTHMOST RD",
            "address_2": "103",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214787",
            "telephone_number": "817-534-7325",
            "fax_number": "817-534-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO DENTAL SOUTHMOST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "KOUYOUMDJIAN",
        "authorized_official_first_name": "RAFFY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-653-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23066",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beatriz Rocha, L.P.C.
• Juan L Rocha, DPM
• Jean Rochel Fils Rochelin, MD
• Jacqueline Rockoff, PA-C
• Rodeo Dental Central PLLC
• Rodolfo J. Walss MD
• Rodolfo Longoria MD, PA
• Denise Rodriguez Garcia, M.S., CCC-SLP
• Rodriguez Hand Rehabilitation and Physical Therapy Inc
• Rodriguez Speech & Therapy Center

• Dentist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.