Individual provider Active NPI

Amaka Amakwe, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Livonia, MI
National Provider Identifier
1467808790
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901601520 Issued in MI
Practice address
32316 Five Mile Rd
Livonia, MI 48154-6109
Phone
(281) 236-2874
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6348 AL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901601520 MI Primary

Addresses

Primary practice location

32316 Five Mile Rd
Livonia, MI 48154-6109

Mailing address

32316 Five Mile Rd
Livonia, MI 48154-6109

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 6, 2025 through Aug 6, 2027

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Connecticut School of Dental Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4646 Nantuckett Dr
Suite a
Toledo, OH 43623-3194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901601520MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1467808790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32316 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32316 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "281-236-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAKWE",
        "first_name": "AMAKA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6348",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.