NPI age
19 years
Enumerated 2007-04-02
● Active
Type 1 · Individual
DR. Raffy Kouyoumdjian, DMD
Kouyoumdjian is 1 of 19 dentist providers in Ft Worth and 1 of 9237 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
2482 Jacksboro Hwy
Ft Worth, TX 761142201
Mailing address
9090 Skillman St, Suite 200c
Dallas, TX 752438259
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
DentistA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1479404-03 | |
| 05 (TX) | 1479404-06 | |
| 05 (TX) | 1479404-08 | |
| 05 (TX) | 1479404-04 | |
| 05 (TX) | 1479404-09 | |
| 05 (TX) | 1479404-12 | |
| 05 (TX) | 1479404-07 | |
| 05 (TX) | 1479404-11 | |
| 05 (TX) | 1479404-10 | |
| 05 (TX) | 1479404-05 | |
| 05 (TX) | 1824195-02 | |
| 05 (TX) | 1479404-01 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.