Kwame Ayerte Gyampo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10654 Issued in NC

Practice address

975 Cameron LN
Mebane, NC 27302-9883

Phone

(919) 304-3014

NPI assigned

Jun 9, 2017

Last updated

Jun 9, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kwame a. Gyampo DDS PLLC

  dba Providence Smiles

  • Dental Clinic/Center
  • Durham, NC
  • NPI 1801413802
  Authorized official Same address or phone

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1639608953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 BUNKER DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029819",
            "telephone_number": "401-854-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CAMERON LN",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029883",
            "telephone_number": "919-304-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAMPO",
        "first_name": "KWAME",
        "middle_name": "AYERTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Homecare Staffing LLC
• Greg Moore Counseling PLLC
• Crystal Gualdoni
• Yingjie Guo
• Leah Gwynn, NP
• Demetria Haddock, LCSWA
• Jamila Chaya Hall Freeman
• John Hamm III, PTA
• John Simon Harman, M.D.
• Chantavious Harris

• General Practice Dentistry in Mebane, NC
• Providers in Mebane, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.