Midland Dental and Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDLAND DENTAL AND ORTHODONTICS, PLLC

Doing business as

Rodeo Dental and Orthodontics

Practice address

5509 Andrews Highway
Midland, TX 79706

Phone

(817) 529-8151

Fax

(817) 928-1681

NPI assigned

Sep 16, 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, DDS

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Other names 1

• Rodeo Dental and Orthodontics Doing business as

Locations

Practitioners 1

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

• Seungho Jeong, DDS

  • General Practice Dentistry
  • Midland, TX
  • NPI 1447943303
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1225750128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 15TH ST STE 520",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026566",
            "telephone_number": "178-529-8151",
            "fax_number": "817-928-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 ANDREWS HIGHWAY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "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_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE 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"
        },
        {
            "organization_name": "Rodeo Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midland Complete Family Care and Associates
• Midland County Hospital District
• Midland County Hospital District
• Midland County Hospital District
• Midland County Hospital District
• Midland Dentistry 4 Kids, PLLC
• Midland DME, LLC
• Midland E Care LLC
• Midland Emergency Center, LLC
• Midland Emergency Management PLLC

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.