PEORIA ST. DENTAL AND ORTHODONTICS PLLC
NPI 1417526294
Dentist - General Practice in Aurora, CO

Q: What is Peoria St. Dental And Orthodontics PLLC's specialty?

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

Active since June 24, 2021

757 PEORIA ST STE D, AURORA, CO 80011(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.

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About Peoria St. Dental And Orthodontics Pllc NPPES

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

PEORIA ST. DENTAL AND ORTHODONTICS PLLC (NPI 1417526294), doing business as Rodeo Dental And Orthodontics, is a healthcare organization registered as a general practice in Aurora, Colorado and active in the NPI registry since June 2021. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1417526294

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePEORIA ST. DENTAL AND ORTHODONTICS PLLC

Location Address757 PEORIA ST STE DAurora, CO 80011-8262

Mailing Address8505 Freeport Pkwy Ste 600Irving, TX 75063-2549 · (817) 529-8151

Phone(817) 529-8151

Fax(817) 928-1681

Organization SubpartNo

Authorized OfficialRaffy KouyoumdjianOwner · (818) 653-9799

Enumeration DateJune 24, 2021

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1417526294 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.

757 PEORIA ST STE D, Aurora, CO 80011

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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

The full list of accepted plans is on the Insurance tab. Issuers include 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 Peoria St. Dental And Orthodontics PLLC's NPI number?

The NPI number for Peoria St. Dental And Orthodontics PLLC is 1417526294. It was assigned to this organization in the NPPES registry on June 24, 2021. The provider is doing business as Rodeo Dental and Orthodontics.

Where is Peoria St. Dental And Orthodontics PLLC located?

Peoria St. Dental And Orthodontics PLLC is located at 757 Peoria St Ste D, Aurora, CO 80011. The listed phone number is (817) 529-8151.

What is Peoria St. 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 Peoria St. Dental And Orthodontics PLLC accept?

Health plans from UnitedHealthcare list Peoria St. 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 Peoria St. 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 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.