Real Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23066 Issued in TX

Legal business name

REAL SMILES

Practice address

3330 Mansfield Hwy Ste B
Fort Worth, TX 76119

Phone

(818) 653-9799

NPI assigned

May 13, 2008

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

Ceo

Phone

(818) 653-9799

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1649447236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MCKINNEY AVE APT 403",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041417",
            "telephone_number": "818-653-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MANSFIELD HWY STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76119",
            "telephone_number": "818-653-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "KOUYOUMDJIAN",
        "authorized_official_first_name": "RAFFY",
        "authorized_official_title_or_position": "CEO",
        "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": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23066",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ready to Heal Counseling, PLLC
• Alan Blake Ready, MSN, APRN, CPNP-AC
• Brendan W Reagan, MD
• Carol Brooks Reagan, PHARM. D.
• Miranda Reagan, MS, RD, LD
• Kelly Real, PT
• Kevin Daniel Real, MD
• Realign Health and Wellness Center
• Reality Foot Care LLC
• Nanda S Reamy, RN

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 May 13, 2008; 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.