Casa Grande Dental and Orthodontics LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASA GRANDE DENTAL AND ORTHODONTICS LLC

Practice address

1377 E Florence Blvd Ste 155
Casa Grande, AZ 85122-5357

Phone

(817) 529-8151

Fax

(817) 928-1681

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Raffy Kouyoumdjian, DMD

Title

Owner

Phone

(818) 653-9799

Specialties & licenses 1

Addresses

Other names 1

• RODEO DENTAL AND ORTHODONTICS Doing business as

Locations

Practitioners 2

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

• Ashwin Gulati, DDS

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1083099535
  NPD (past)
• Katharine Nicole Legaspi, DMD

  • Dentist
  • Antioch, CA
  • NPI 1447817416
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1144970609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 FREEPORT PKWY STE 600",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632549",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 E FLORENCE BLVD STE 155",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225357",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE DENTAL AND ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "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_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEO DENTAL AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Counseling Service
• Casa Grande Elementary School District
• Casa Grande Elementary School District
• Casa Grande Elementary School District #4
• Casa Grande Emergency Physicians PLLC
• Casa Grande Family Physicians PC

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.