RODEO DENTAL AND ORTHODONTICS
NPI 1548611452
Dentist - General Practice in Laredo, TX

Q: What is Rodeo Laredo Dental & Orthodontics, PLLC's specialty?

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

Active since June 22, 2016

910 GUADALUPE ST STE A, LAREDO, TX 78040(817) 529-8151 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2017, Jun 22, 2016 (2 updates tracked since 2016).

On this page

About Rodeo Dental And Orthodontics NPPES

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

RODEO DENTAL AND ORTHODONTICS (NPI 1548611452) is a healthcare organization registered as a general practice in Laredo, Texas and active in the NPI registry since June 2016. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1548611452

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRODEO LAREDO DENTAL & ORTHODONTICS, PLLC

Location Address910 GUADALUPE ST STE ALaredo, TX 78040-5280

Mailing Address910 Guadalupe Street, Suite ALaredo, TX 78040-5280 · (817) 529-8151

Phone(817) 529-8151

Organization SubpartNo

Authorized OfficialRaffy KouyoumdjianOwner · (972) 814-2708

Enumeration DateJune 22, 2016

Last NPPES UpdateFebruary 20, 20172 updates tracked since enumeration

✔ NPI 1548611452 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.

910 GUADALUPE ST STE A, Laredo, TX 78040

Open in Google Maps ↗

Other Names 1

Doing Business AsRodeo Dental And Orthodontics

Other Identifiers 5

Medicaid182419510TX

Medicaid182419511TX

Medicaid182419515TX

Medicaid182419514TX

Medicaid182419513TX

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

KASSILEY ADRIANE DE FARIA DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

910 GUADALUPE ST STE A
LAREDO, TX 78040

Webb County (956) 884-4840

GABRIEL GERARDO PEREZ

Dentist

910 GUADALUPE ST STE A
LAREDO, TX 78040

Webb County (956) 884-4840

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 Rodeo Laredo Dental & Orthodontics, PLLC's NPI number?

The NPI number for Rodeo Laredo Dental & Orthodontics, PLLC is 1548611452. It was assigned to this organization in the NPPES registry on June 22, 2016. The provider is doing business as Rodeo Dental And Orthodontics.

Where is Rodeo Laredo Dental & Orthodontics, PLLC located?

Rodeo Laredo Dental & Orthodontics, PLLC is located at 910 Guadalupe St Ste A, Laredo, TX 78040. The listed phone number is (817) 529-8151.

What is Rodeo Laredo Dental & Orthodontics, PLLC's specialty?

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

What insurance does Rodeo Laredo Dental & Orthodontics, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Rodeo Laredo Dental & 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 Rodeo Laredo Dental & Orthodontics, PLLC was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.