Active NPI
Andrew Aboagye-Kumi, DDS
- Dentist
- Alexandria, VA
National Provider Identifier
1356015705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417630
- Practice address
- 1150 N Fayette St NW
Apt 2414
Alexandria, VA 22314 - Phone
- (910) 489-5944
- NPI assigned
- Aug 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417630 | VA | Primary |
Addresses
Primary practice location
1150 N Fayette St NW
Apt 2414
Alexandria, VA 22314
Mailing address
4527 Weaverhall Dr
Fayetteville, NC 28314-2574
Phone (910) 489-5944
Other practice location 1
4527 Weaverhall Dr
Fayetteville, NC 28314-2574
Phone (910) 489-5944
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 |
|---|---|---|---|
| 0401417630 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Aboagye-Kumi DDS PLLC | Current | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Alexandria, VA
- NPI 1801552765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1356015705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 WEAVERHALL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142574",
"telephone_number": "910-489-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N FAYETTE ST NW",
"address_2": "APT 2414",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22314",
"telephone_number": "910-489-5944"
}
],
"practiceLocations": [
{
"address_1": "4527 Weaverhall Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283142574",
"country_code": "US",
"telephone_number": "910-489-5944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOAGYE-KUMI",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-08",
"last_updated": "2021-10-28",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.