Individual provider Active NPI

Kyle Kenechukwu Nwankwo, DDS

  • General Practice Dentistry
  • Utica, NY
National Provider Identifier
1760112700
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02968700 Issued in NJ
Practice address
2607 Genesee St
Utica, NY 13501-6216
Phone
(315) 724-3197
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 22DI02968700 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2607 Genesee St
Utica, NY 13501-6216

Mailing address

447 South Shore Rd
Marmora, NJ 08223-2603
Phone (862) 300-7244

Other practice location 1

191 LeFante Way Ste 2C
Bayonne, NJ 07002-5022
Phone (201) 212-4456

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$MedicaidNY

Other names 1

  • Dr. Kenechukwu K Nwankwo Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1619275039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02968700NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong Dental Studio of Bayonne LLC PastSince Nov 9, 2025 Accepting new patients
John a Zalatan DMD PC Past Accepting new patients

Organizations & group practices 2

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1760112700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SOUTH SHORE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082232603",
            "telephone_number": "862-300-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016216",
            "telephone_number": "315-724-3197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 LeFante Way Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070025022",
            "country_code": "US",
            "telephone_number": "201-212-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "KYLE",
        "middle_name": "KENECHUKWU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02968700",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1619275039",
            "affiliation": "N",
            "address_1": "1775 Grand Concourse",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104538202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENECHUKWU",
            "last_name": "NWANKWO",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.