RODEO LAREDO DENTAL & ORTHODONTICS, PLLC (NPI# 1548611452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548611452 |
| Entity Type | Organization |
| Organization Name | RODEO LAREDO DENTAL & ORTHODONTICS, PLLC |
| Other Organization Name | RODEO DENTAL AND ORTHODONTICS |
| Practice Address |
910 Guadalupe St Ste A Laredo TX 78040-5280 |
| Mailing Address |
910 Guadalupe Street, Suite A Laredo TX 78040-5280 |
| Practice Telephone | 8175298151 |
| Mailing Telephone | 8175298151 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | DR. RAFFY KOUYOUMDJIAN (OWNER) |
| Authorized Official Telephone | 9728142708 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 182419511 | 05 | |
| TX | 182419513 | 05 | |
| TX | 182419510 | 05 | |
| TX | 182419514 | 05 | |
| TX | 182419515 | 05 |
| Other Name | Type Code |
|---|---|
| Rodeo Dental and Orthodontics | Doing Business As Name - Organization |
| Street Address |
910 GUADALUPE ST STE A |
| City | LAREDO |
| State | TX |
| Zip Code | 78040-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891384 | Kavin Patel | Dentist | 910 Guadalupe St Ste A, Laredo, TX 78040-5280 | 2017-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335755 | Viviana Rodriguez | Specialist/Technologist | 1020 Corpus Christi St., Laredo, TX 78040 | 2018-08-08 |
| 1518451749 | United Med Care Ambulance | Ambulance | 1110 Davis Ave, Laredo, TX 78040 | 2018-06-20 |
| 1962910117 | Tomas Cantu | Home Health | 1502 Hidalgo St, Laredo, TX 78040 | 2018-01-22 |
| 1457860447 | Francisco J Martinez | Massage Therapist | 3116 San Bernardo Ave #a, Laredo, TX 78040 | 2017-09-22 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093956831 | Black Casino LLC | Clinic/Center | 302 Washington St Suite B, Laredo, TX 78040 | 2009-03-06 |
| 1851504252 | La Luz Adult Day Care L.L.C. | Nursing Facility/Intermediate Care Facility | 2349 E Saunders, Laredo, TX 78040 | 2007-05-08 |
| 1346373602 | Lorena Elizabeth Tidwell | Specialist/Technologist | West End Washinton, Laredo Community College - Athletic Department, Laredo, TX 78040 | 2007-03-14 |
| 1578609319 | Iliana Medina Chandarlis | Physical Therapist | 1501 Chihuahua Drive Suite #2, Laredo, TX 78040 | 2007-01-29 |
| 1972669919 | Sunny Wong | Internal Medicine | Mcpherson Medical Center, 6801 Mcpherson Road Suite 337, Laredo, TX 78040 | 2006-12-27 |
| Find all providers in zip 78040 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228169 | Stephan A. Pope Dds, Pllc | Dentist | 4311 Clark Blvd Ste O, Laredo, TX 78043-4167 | 2020-06-03 |
| 1215560073 | Monica Perez | Dentist | 7307 Thomas Harris Dr, Laredo, TX 78041-2120 | 2020-02-19 |
| 1821507427 | Independence Planet Oral Healthcare, Pllc | Dentist | 2438 Monarch Dr Ste A-135, Laredo, TX 78045-6600 | 2017-09-26 |
| 1609391218 | Menta Dental | Dentist | 1211 E Del Mar Blvd Ste 3, Laredo, TX 78041-2406 | 2017-08-04 |
| 1851842900 | Carlos J. Romero D.d.s. and Assocaites P.l.l.c | Dentist | 3120 La Pita Mangana Road Suite #200, Laredo, TX 78046 | 2016-10-24 |
| 1578016663 | Arturo Molina Jr. | Dentist | 2439 Monarch Dr Unit 4, Laredo, TX 78045-6840 | 2016-07-26 |
| 1780049965 | Planet Oral Health Care Calton, Pllc | Dentist | 301 W. Calton Rd, Laredo, TX 78041-6339 | 2015-12-15 |
| 1043685837 | Samer Tabel P.C. | Dentist | 2420 Bob Bullock Loop Ste 18, Laredo, TX 78043-4490 | 2015-12-06 |
| 1154735942 | Matthew Dale Davenport | Dentist | 3402 E Del Mar Blvd Ste 260, Laredo, TX 78041-6599 | 2014-06-19 |
| 1285917161 | Castellano & Carpenter Dental Asociates, PC | Dentist | 7002 Mcpherson Rd Ste 104, Laredo, TX 78041-6442 | 2011-09-27 |
| Find all providers in LAREDO | ||||
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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.