OrganizationActive
Waco Dental and Orthodontics, PLLC
NPI 1114699089 · General Practice Dentistry · Waco, TX
Waco Dental and Orthodontics, PLLC is a General Practice Dentistry organization in Waco, TX (NPI 1114699089).
Provider details
- NPI number
- 1114699089
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Raffy Kouyoumdjian, Owner(818) 653-9799
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5201 Bosque Blvd Ste 200
Waco, TX 76710-4676
Phone: (817) 529-8151
Fax: (817) 928-1681
Street-level locationGet directions
Mailing address
8505 Freeport Pkwy Ste 600
Irving, TX 75063-2549
Other names (DBA / former)
- Doing business as
- Rodeo Dental and Orthodontics
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Waco Dental and Orthodontics, PLLC's NPI number?
- Waco Dental and Orthodontics, PLLC's National Provider Identifier (NPI) is 1114699089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waco Dental and Orthodontics, PLLC?
- Waco Dental and Orthodontics, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Waco Dental and Orthodontics, PLLC located?
- Waco Dental and Orthodontics, PLLC's practice location on file with NPPES is 5201 Bosque Blvd Ste 200, Waco, TX 76710-4676.
- What is Waco Dental and Orthodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Waco Dental and Orthodontics, PLLC is (817) 529-8151.
- Who is the authorized official for Waco Dental and Orthodontics, PLLC?
- The authorized official listed on Waco Dental and Orthodontics, PLLC's NPPES record is Raffy Kouyoumdjian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waco Dental and Orthodontics, PLLC's NPI active?
- Yes — Waco Dental and Orthodontics, PLLC's NPI (1114699089) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.