Kwame Kwakye, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN015099 Issued in GA

Practice address

1040 Eagles Landing Pkwy Ste 200
Stockbridge, GA 30281-9074

Phone

(678) 836-2136

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

No

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 GA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1730595802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PKWY STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819074",
            "telephone_number": "678-836-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PKWY STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819074",
            "telephone_number": "678-836-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKYE",
        "first_name": "KWAME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "1302",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN015099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Abigail Kulunkoglu, NP
• Ameet Kumar, M.D
• Srikar Kumar
• Tomoyo Kuriyama, NP
• Ravinder K Kurl, MD
• Jessica Lachana
• Deeveria Ashton Lacy, LPC
• Vera Lafosse, D.O.
• Reanne Amelia Laidford
• Danielle Nikole Laidler, AG-CNS-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.