NPIMap

Organization Active NPI

Jayne E Kalu DMD PA

  • Dental Clinic/Center
  • Concord, NC
National Provider Identifier
1659820330
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9616 Issued in NC
Legal business name
JAYNE E KALU DMD PA
Doing business as
New World Dentistry
Practice address
4995 Weddington Road NW
Suite 40
Concord, NC 28027-0042
Phone
(704) 918-5560
Fax
(980) 223-6905
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Jayne Eberechukwu Kalu, DMDNPI 1639304892
Title
President Owner
Phone
(347) 534-7416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9616 NC Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

4995 Weddington Road NW
Suite 40
Concord, NC 28027-0042

Mailing address

PO Box 620304
Charlotte, NC 28262-0105
Phone (704) 918-5560

Other identifiers 1

IdentifierTypeStateIssuer
1639304892OtherNPI TYPE I

Other names 2

  • New World Dentistry Doing business as
  • Jayne E Codjoe DMD PA Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@newworlddentistry.com Direct

National Provider Directory

National Provider Directory

Locations

4995 Weddington Rd
Ste 40
Concord, NC 28027
Phone (704) 918-5560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1659820330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620105",
            "telephone_number": "704-918-5560",
            "fax_number": "980-223-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 WEDDINGTON ROAD NW",
            "address_2": "SUITE 40",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270042",
            "telephone_number": "704-918-5560",
            "fax_number": "980-223-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNE E KALU DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "EBERECHUKWU",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "347-534-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9616",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1639304892",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@newworlddentistry.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4995 Weddington Road NW",
            "address_2": "Suite 40",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280270042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New World Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New World Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jayne E Codjoe DMD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.