Organization Active NPI

290 Crossing Dental and Orthodontics PLLC

Doing business as Rodeo Dental and Orthodontics

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1962264226
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
290 CROSSING DENTAL AND ORTHODONTICS PLLC
Doing business as
Rodeo Dental and Orthodontics
Practice address
7844 W Tidwell Rd Ste 130
Houston, TX 77040-5862
Phone
(817) 529-8151
Fax
(817) 529-5159
NPI assigned
Jan 23, 2024
Last updated
Oct 3, 2025By the provider in NPPES
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
Dr. 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

7844 W Tidwell Rd Ste 130
Houston, TX 77040-5862

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

7844 W Tidwell Rd
Ste 120
Houston, TX 77040

7844 W Tidwell Rd
Ste 130
Houston, TX 77040
Phone (346) 768-3550

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1962264226",
    "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": "817-529-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 W TIDWELL RD STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405862",
            "telephone_number": "817-529-8151",
            "fax_number": "817-529-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "290 CROSSING DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "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_name_prefix": "Dr.",
        "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"
        },
        {
            "organization_name": "Rodeo Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

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.