Kenechukwu Nwankwo, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

33588 Issued in TX

Practice address

5701 President George Bush Hwy Ste 140
Rowlett, TX 75089-3694

Phone

(214) 703-0703

NPI assigned

Apr 14, 2017

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Confident Smile Studio, PLLC

  dba ConfiDent Smile Studio

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1427795368
  Authorized official Same address or phone
• Peppermint Dental

  dba Peppermint Dental & Orthodontics

  • Dentist
  • Rowlett, TX
  • NPI 1861641995
  NPD

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356875462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 GARDEN OAKS PL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524402",
            "telephone_number": "972-816-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 PRESIDENT GEORGE BUSH HWY STE 140",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893694",
            "telephone_number": "214-703-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6780 Abrams Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310229",
            "country_code": "US",
            "telephone_number": "214-888-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "KENECHUKWU",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33588",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NSNP 1, PLLC (Texas Brain and Spine)
• Nuch of Texas (MedPost Urgent Care - Rowlett)
• Mary Zan Nutting, RBT
• Emmanuel Ositadinma Nwadeyi, PA-C
• Okey Nwagbara
• Tobenna Igweonu Nwizu, M.D.
• Sam Nwosu
• Nytellx Management Group LLC
• Collin J O'Hara, MD
• Sarah Marie O'Shei, PT, DPT

• Dentist in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.