RODEO DENTAL (NPI# 1225435878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225435878 |
| Entity Type | Organization |
| Organization Name | RODEO DENTAL |
| Practice Address |
2815 Bay West Blvd Horseshoe Bay TX 78657 |
| Mailing Address |
Po Box 4642 Horseshoe Bay TX 78657-4642 |
| Practice Telephone | 5127871977 |
| Practice Fax Number | 8305967568 |
| Mailing Telephone | 5127871977 |
| Mailing Fax Number | 8305967568 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | DR. PHILIP B CALDWELL (ORTHODONTIST) |
| Authorized Official Telephone | 5127871977 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9192 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841427655 | Rodeo Dental | Dentist | 3204 N Main St Ste G, Fort Worth, TX 76106-5900 | 2009-06-18 |
| Street Address |
2815 BAY WEST BLVD |
| City | HORSESHOE BAY |
| State | TX |
| Zip Code | 78657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1013418623 | Vanessa Ann Nixon | Registered Nurse | 414 Twisted Oak Drive, Horseshoe Bay, TX 78657 | 2018-02-28 |
| 1831508316 | Larry G. Manning | Surgery | 108 Twilight, Horseshoe Bay, TX 78657 | 2014-08-08 |
| 1063751584 | Lake Country Dental | Dentist | 7401 West Fm 2147, Suite 1, Horseshoe Bay, TX 78657 | 2013-02-04 |
| 1356650931 | Richard Alan Duncan | Dentist | 7401 Fm 2147 West, Suite 1, Horseshoe Bay, TX 78657 | 2010-09-30 |
| 1215179213 | Jesse Hamilton Dickson | Orthopaedic Surgery | 1009 Red Sail, Horseshoe Bay, TX 78657 | 2009-04-06 |
| 1679722565 | Sharon Ann Bowden | Psychologist | 512 Hi Circle, Horseshoe Bay, TX 78657 | 2008-09-16 |
| 1285751537 | William Howard Reid | Legal Medicine | 209 Long Mountain, Horseshoe Bay, TX 78657 | 2007-03-23 |
| 1417095738 | Gregory Robert Sopel | Dentist | 420a Hi Circle South, Horseshoe Bay, TX 78657 | 2007-02-01 |
| 1972606002 | Hsb Pharmacy Inc | Pharmacy | 7405 Hwy 2147, Horseshoe Bay, TX 78657 | 2006-09-06 |
| Find all providers in zip 78657 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989992 | Maxwell Oldham | Dentist | 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 | 2020-10-10 |
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1700496411 | Farhana Rahman | Dentist | 398 E Pipeline Rd, Hurst, TX 76053-5831 | 2020-08-06 |
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1316556061 | Prosper Braces Pllc | Dentist | 821 N Coleman St Ste 110, Prosper, TX 75078-2305 | 2020-07-29 |
| 1871118133 | Tardy Orthodontics PC | Dentist | 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 | 2020-06-12 |
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1275155665 | Joanna Song | Dentist | 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 | 2020-05-08 |
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1740809003 | Boss Orthodontics, Pllc | Dentist | 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | HORSESHOE BAY |
| Zip Code | 78657 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.