Active NPI
KDR Industries, PLLC
- Pediatric Dentistry
- Moline, IL
National Provider Identifier
1013878883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- KDR INDUSTRIES, PLLC
- Practice address
- 4530 12TH Ave
Moline, IL 61265-2552 - Phone
- (309) 797-3887
- NPI assigned
- Nov 20, 2025
- Last updated
- Nov 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Yamoah, DDS
- Title
- Pediatric Dentist
- Phone
- (214) 455-4487
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
4530 12TH Ave
Moline, IL 61265-2552
Mailing address
4530 12TH Ave
Moline, IL 61265-2552
Phone (309) 797-3887
National Provider Directory
National Provider DirectoryLocations
4530 12th Ave
Moline, IL 61265
Phone (309) 797-3887
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Corinth, TX
- NPI 1902239007
-
- Pediatric Dentistry
- Moline, IL
- NPI 1659348258
-
- Pediatric Dentistry
- Moline, IL
- NPI 1295965028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1013878883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 12TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652552",
"telephone_number": "309-797-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 12TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652552",
"telephone_number": "309-797-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KDR INDUSTRIES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "YAMOAH",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "214-455-4487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.