Active NPI
Somtochi Olivia Akamnonu, DMD
- Pediatric Dentistry
- Gastonia, NC
National Provider Identifier
1043729361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12959
- Practice address
- 991 W Hudson Blvd
Gastonia, NC 28052-6430 - Phone
- (704) 853-5191
- NPI assigned
- Sep 29, 2017
- Last updated
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857764 | MA | |
| Pediatric Dentistry | 1223P0221X | 37125 | TX | |
| Pediatric Dentistry | 1223P0221X | 12959 | NC | Primary |
Addresses
Primary practice location
991 W Hudson Blvd
Gastonia, NC 28052-6430
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-9005
Other practice location 1
555 State St
Springfield, MA 01109-4101
Phone (413) 736-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857764 | MA | MD | Dentist |
| 12959 | NC | MD | Pediatric Dentist |
| 37125 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Dreams LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Springfield, MA
- NPI 1245407881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1043729361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 W HUDSON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526430",
"telephone_number": "704-853-5191"
}
],
"practiceLocations": [
{
"address_1": "555 State St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011094101",
"country_code": "US",
"telephone_number": "413-736-0027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKAMNONU",
"first_name": "SOMTOCHI",
"middle_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857764",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "37125",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "12959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.