Phoenix Dental and Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHOENIX DENTAL AND ORTHODONTICS, PLLC

Practice address

7710 W Lower Buckeye Rd Ste 120
Phoenix, AZ 85043-3439

Phone

(817) 529-8151

Fax

(817) 928-1681

NPI assigned

Sep 13, 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 3

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)
• Kenia Giselle Leon, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1902796402
  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": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1326760737",
    "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": "817-529-8151",
            "fax_number": "817-928-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 W LOWER BUCKEYE RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433439",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "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": "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"
        }
    ]
}

• Phoenix Chiropractic Corp
• Phoenix Chiropractic Injury Clinic, LLC
• Phoenix Collegaitae Academy Inc
• Phoenix Comfort Homes LLC
• Phoenix Counseling LLC
• Phoenix Dental Center PLLC
• Phoenix Dental Design, PLLC
• Phoenix Dental Providers, Inc.
• Phoenix Diabetes and Endocrinology, LLC
• Phoenix Diagnostic Imaging Inc

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Sep 13, 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.