Kommineni DDS and Associates PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KOMMINENI DDS AND ASSOCIATES PLLC

Practice address

4119 Walker Ave
Greensboro, NC 27407-1315

Phone

(336) 294-2322

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Coo

Phone

(336) 294-2322

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Steven Jae Doo Kim, DMD, DDS

  • Periodontics
  • Chapel Hill, NC
  • NPI 1932339520

  Dentist

  NPD (past)
• Jamel Deeb Odeh, DDS

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1770653065
  NPD (past)
• Sylvanna Sarah Cahill, DMD

  • General Practice Dentistry
  • Lakewood Ranch, FL
  • NPI 1356027064
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1316402498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 WALKER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071315",
            "telephone_number": "336-294-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 WALKER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071315",
            "telephone_number": "336-294-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMMINENI DDS AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "336-294-2322"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@greensborodentalassociates.com",
            "affiliation": "N",
            "address_1": "4119 Walker Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Kolber
• Zumo M Kollie, LCAS
• Franck Romual Kombou Sile
• Saidivya Komma, OD
• Srinavya Komma, OD
• Barbara Goldman Komstead, PA-C
• Sation Konchellah
• Taylor Paige Kontoulas
• Kathryn Lorraine Kooistra, CNM
• Julius B Koomson

• Dentist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.