Rodeo Dental Main Street, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24133 Issued in TX

Legal business name

RODEO DENTAL MAIN STREET, PLLC

Practice address

3204 N. Main St.
Suite 120
Fort Worth, TX 76106

Phone

(817) 829-8151

Fax

(817) 928-1681

NPI assigned

Jun 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Saam Zarrabi, DDS

Title

Owner

Phone

(817) 859-8151

Specialties & licenses 1

Addresses

Other names 1

• Rodeo Dental and Orthodontics Doing business as

Locations

Practitioners 1

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

• Zameer Dhanani, DMD

  • Dental Anesthesiology
  • Lone Tree, CO
  • NPI 1831710003
  NPD

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1841427655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. 15TH ST.",
            "address_2": "SUITE 520",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026566",
            "telephone_number": "817-529-8151",
            "fax_number": "817-925-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N. MAIN ST.",
            "address_2": "SUITE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76106",
            "telephone_number": "817-829-8151",
            "fax_number": "817-928-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO DENTAL MAIN STREET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ZARRABI",
        "authorized_official_first_name": "SAAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-859-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockwood Medical Clinic, P.a.
• Rockwood Wellness Clinic LLC
• William C Roddy, D.D.S.
• Lauren Rodell, NP
• Ryan Rodems, ATC
• Rodeo Edinburg & Orthodontics, PLLC
• Austin Dwight Rodgers
• Hannah C Rodgers, LPC-A
• Brittni Dawn Rodio
• Sarah Cresencia Rodolfo, SONOGRAPHER

• 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 Oct 26, 2022; 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.