Kirkwood Dental and Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIRKWOOD DENTAL AND ORTHODONTICS, PLLC

Doing business as

Rodeo Dental and Orthodontics

Practice address

11753 W Bellfort St Ste 114
Stafford, TX 77477-1327

Phone

(817) 529-8151

Fax

(817) 928-1681

NPI assigned

Nov 19, 2021

Last updated

Oct 3, 2025By the provider in NPPES

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

(818) 653-9799

Specialties & licenses 1

Addresses

Other names 1

• RODEO DENTAL AND ORTHODONTICS Doing business as

Locations

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1356008858",
    "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": "11753 W BELLFORT ST STE 114",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771327",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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"
        }
    ]
}

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• General Practice Dentistry in Stafford, TX
• Providers in Stafford, 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 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.