CASA GRANDE DENTAL AND ORTHODONTICS LLC
NPI 1144970609
Dentist - General Practice in Casa Grande, AZ

Active since March 28, 2022
1377 E FLORENCE BLVD STE 155, CASA GRANDE, AZ 85122(817) 529-8151(817) 928-1681 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Casa Grande Dental And Orthodontics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASA GRANDE DENTAL AND ORTHODONTICS LLC (NPI 1144970609), doing business as Rodeo Dental And Orthodontics, is a healthcare organization registered as a general practice in Casa Grande, Arizona and active in the NPI registry since March 2022. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1144970609
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCASA GRANDE DENTAL AND ORTHODONTICS LLC
Location Address1377 E FLORENCE BLVD STE 155Casa Grande, AZ 85122-5357
Mailing Address8505 Freeport Pkwy Ste 600Irving, TX 75063-2549 · (817) 529-8151 · Fax (817) 928-1681
Fax(817) 928-1681
Organization SubpartNo
Authorized OfficialRaffy KouyoumdjianOwner · (818) 653-9799
Enumeration DateMarch 28, 2022
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1144970609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1377 E FLORENCE BLVD STE 155, Casa Grande, AZ 85122

Other Names 1

Doing Business AsRodeo Dental And Orthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1377 E FLORENCE BLVD STE 155
CASA GRANDE, AZ 85122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casa Grande Dental And Orthodontics LLC's NPI number?

The NPI number for Casa Grande Dental And Orthodontics LLC is 1144970609. It was assigned to this organization in the NPPES registry on March 28, 2022. The provider is doing business as Rodeo Dental And Orthodontics.

Where is Casa Grande Dental And Orthodontics LLC located?

Casa Grande Dental And Orthodontics LLC is located at 1377 E Florence Blvd Ste 155, Casa Grande, AZ 85122. The listed phone number is (817) 529-8151.

What is Casa Grande Dental And Orthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Casa Grande Dental And Orthodontics LLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc. and UnitedHealthcare list Casa Grande Dental And Orthodontics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casa Grande Dental And Orthodontics LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.