Komkare Empowerment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KOMKARE EMPOWERMENT CENTER

Practice address

1058 W Club Blvd Ste 232
Durham, NC 27701-1149

Phone

(919) 673-8992

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Babalola Olopade, MBA

Title

Ceo

Phone

(919) 673-8992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1356804108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 RIVERINE CREST CIR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946751",
            "telephone_number": "196-738-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 W CLUB BLVD STE 232",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011149",
            "telephone_number": "919-673-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMKARE EMPOWERMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "OLOPADE",
        "authorized_official_first_name": "BABALOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-673-8992",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kolstad, OTD, OTR/L
• Deborah Catherine Koltai, PH.D.
• Michael R Komada, MD
• Jonathan Reed Komisar, MD
• Jordan Michael Komisarow, M.D.
• Carlee Komoroski, PA-C
• Meghana Konanur, MD
• Jaisheela Kondru, M.D.
• David Franklin Kong, M.D., A.M., D.M.T.
• Ethan Kwangwon Kong, DDS

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.