Regenerative Medical Institute,PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

REGENERATIVE MEDICAL INSTITUTE,PLLC

Practice address

1305 W. Wendover Ave.
Ste a
Greensboro, NC 27408

Phone

(336) 894-1188

Fax

(336) 458-2593

NPI assigned

Oct 2, 2019

Last updated

Oct 2, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kwadwo Gyarteng Dakwa, M.D.

Title

Owner

Phone

(336) 894-1188

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1174164057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W. WENDOVER AVE.",
            "address_2": "STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-894-1188",
            "fax_number": "336-458-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W. WENDOVER AVE.",
            "address_2": "STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-894-1188",
            "fax_number": "336-458-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICAL INSTITUTE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "DAKWA",
        "authorized_official_first_name": "KWADWO",
        "authorized_official_middle_name": "GYARTENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-894-1188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betti D Reese, MD
• Jerry W Reeves, DDS
• Andrew Regal, DPM
• Norman Scott Regal, DPM
• Belkys Anioris Regalado Romero, MD
• Eliahu Shaul Regev, DMD
• Regina Kujawa LCSW LLC
• Regina Kujawa LCSW PLLC
• Reginald Center of Turn Around
• Regional Home Care, Inc.

• Pain Medicine (Anesthesiology) Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.