Kamp, Wallace & Associates PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KAMP, WALLACE & ASSOCIATES PLLC

Practice address

126 Cinema Dr
Wilmington, NC 28403-1490

Phone

(910) 442-3443

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Teresa Leigh Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Smile Straight Orthodontics - Wilmington Doing business as

Locations

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1679214035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CINEMA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031490",
            "telephone_number": "910-745-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CINEMA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031490",
            "telephone_number": "910-442-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMP, WALLACE & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Straight Orthodontics - Wilmington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Straight Orthodontics - Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaizen Counseling and Consultation
• Holly Kallam
• Matthew Kalp, MD
• Brooke Kaminski
• Paul F Kamitsuka, MD
• Amy Kampschroeder, OTR/L
• Kamran Goudarzi Surgical Practice PC
• Kathleen M. Kane-Maxwell, P.T.
• Peter Kane, MD
• Jinson Kang, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.