Organization Active NPI

Tucson Dental and Orthodontics

Doing business as Rodeo Dental and Orthodontics

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1649910944
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TUCSON DENTAL AND ORTHODONTICS
Doing business as
Rodeo Dental and Orthodontics
Practice address
3346 S 6TH Ave Ste 192
Tucson, AZ 85713-6174
Phone
(817) 529-8151
Fax
(817) 928-1681
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3346 S 6TH Ave Ste 192
Tucson, AZ 85713-6174

Mailing address

8505 Freeport Pkwy Ste 600
Irving, TX 75063-2549
Phone (817) 529-8151

Other names 1

  • RODEO DENTAL AND ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

3346 S 6th Ave
Ste 192
Tucson, AZ 85713
Phone (520) 605-0255

8505 Freeport Pkwy
Ste 600
Irving, TX 75063
Phone (346) 561-3825

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1649910944",
    "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": "3346 S 6TH AVE STE 192",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136174",
            "telephone_number": "817-529-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "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_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"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • 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.