Glendale Dental and Orthodontics

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENDALE DENTAL AND ORTHODONTICS

Doing business as

Rodeo Dental and Orthodontics

Practice address

6702 W Bethany Home Rd
Glendale, AZ 85303-4402

Phone

(817) 529-8151

NPI assigned

Sep 17, 2025

Last updated

Jul 13, 2026By 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

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": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1356212724",
    "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": "818-653-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W BETHANY HOME RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034402",
            "telephone_number": "817-529-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "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"
        }
    ]
}

• Kelli Gladieux, SPEECH PATHOLOGIST
• Angela Glaubke, M.S.
• David Gleghorn
• Glencroft Towers I, Inc.
• Glendale Chiropractic Life Center, LLC (Glendale Wellness Center)
• Glendale Dental Associates LLC
• Glendale Dental Group, L.T.D.
• Glendale Dental Smiles
• Glendale Elementary School District #40
• Glendale Family Dentistry, PLLC

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, 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 Jul 13, 2026; 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.