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KIRKWOOD DENTAL AND ORTHODONTICS, PLLC
NPI 1356008858
Dentist - General Practice in Stafford, TX

Active since November 19, 2021
11753 W BELLFORT ST STE 114, STAFFORD, TX 77477(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: October 04, 2026.

Record update history: Jun 9, 2022, Nov 19, 2021 (2 updates tracked since 2021).

About Kirkwood Dental And Orthodontics, Pllc NPPES

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

KIRKWOOD DENTAL AND ORTHODONTICS, PLLC (NPI 1356008858), doing business as Rodeo Dental And Orthodontics, is a healthcare organization registered as a general practice in Stafford, Texas and active in the NPI registry since November 2021. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1356008858
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKIRKWOOD DENTAL AND ORTHODONTICS, PLLC
Location Address11753 W BELLFORT ST STE 114Stafford, TX 77477-1327
Mailing Address8505 Freeport Pkwy Ste 600Irving, TX 75063-2549 · (817) 529-8151 · Fax (817) 928-1681
Phone(817) 529-8151
Fax(817) 928-1681
Organization SubpartNo
Authorized OfficialRaffy KouyoumdjianOwner · (818) 653-9799
Enumeration DateNovember 19, 2021
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1356008858 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.
11753 W BELLFORT ST STE 114, Stafford, TX 77477
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Other Names 1

Doing Business AsRodeo Dental And Orthodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc., UnitedHealthcare.Insurance ›

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 Kirkwood Dental And Orthodontics, PLLC's NPI number?

The NPI number for Kirkwood Dental And Orthodontics, PLLC is 1356008858. It was assigned to this organization in the NPPES registry on November 19, 2021. The provider is doing business as Rodeo Dental And Orthodontics.

Where is Kirkwood Dental And Orthodontics, PLLC located?

Kirkwood Dental And Orthodontics, PLLC is located at 11753 W Bellfort St Ste 114, Stafford, TX 77477. The listed phone number is (817) 529-8151.

What is Kirkwood Dental And Orthodontics, PLLC's specialty?

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

What insurance does Kirkwood Dental And Orthodontics, PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list Kirkwood Dental And Orthodontics, PLLC 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 Kirkwood Dental And Orthodontics, PLLC 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 12 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.