Ruben Torres Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23066 Issued in TX

Legal business name

RUBEN TORRES DENTAL, PLLC

Practice address

2155 Ruben M. Torres Sr Boulevard
Unit 4
Brownsville, TX 78526

Phone

(956) 982-4495

NPI assigned

Jul 12, 2016

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, DMD

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

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

• Jia Ming Shi, DMD

  • Dentist
  • Laredo, TX
  • NPI 1770325888
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1184076317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 15TH ST",
            "address_2": "SUITE 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026550",
            "telephone_number": "817-529-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 RUBEN M. TORRES SR BOULEVARD",
            "address_2": "UNIT 4",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-982-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN TORRES DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "KOUYOUMDJIAN",
        "authorized_official_first_name": "RAFFY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419511",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419515",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419516",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419517",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419514",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182419513",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mairim Rosas
• Rosa M Rosas, NATUROPATIC DOCTOR
• Rose Z. Gowen, M.D., P.a.
• Roselle C. Pettorino MD, PA
• RS2 Anesthesia PLLC
• Sally Tiffany Rubio Rodriguez, RDN, LD
• Rudy Valle, DDS, Inc
• Vanessa Griselda Ruelas
• Ruiz Pharmacy
• Ruiz Pharmacy

• 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 Jan 11, 2017; 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.