Rodeo Dental Central PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23066 Issued in TX

Legal business name

RODEO DENTAL CENTRAL PLLC

Practice address

1634 Central Blvd
Brownsville, TX 78520-8337

Phone

(817) 624-6677

NPI assigned

Nov 2, 2010

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, D.M.D.

Title

Owner

Phone

(818) 653-9799

Specialties & licenses 1

Addresses

Other names 1

• Rodeo Dental Doing business as

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1598065872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208337",
            "telephone_number": "817-624-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208337",
            "telephone_number": "817-624-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO DENTAL CENTRAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "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": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramiro Rocha Garcia
• Beatriz Rocha, L.P.C.
• Juan L Rocha, DPM
• Jean Rochel Fils Rochelin, MD
• Jacqueline Rockoff, PA-C
• Rodeo Dental Southmost PLLC
• Rodolfo J. Walss MD
• Rodolfo Longoria MD, PA
• Denise Rodriguez Garcia, M.S., CCC-SLP
• Rodriguez Hand Rehabilitation and Physical Therapy Inc

• 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 Nov 2, 2010; 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.