Active NPI
Kyle Kenechukwu Nwankwo, DDS
- General Practice Dentistry
- Utica, NY
National Provider Identifier
1760112700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02968700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Medicaid | NY |
Other names 1
- Dr. Kenechukwu K Nwankwo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02968700 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armstrong Dental Studio of Bayonne LLC | Past | 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.
-
- Dentist
- Utica, NY
- NPI 1508984360
-
- Dentist
- Bayonne, NJ
- NPI 1093685794
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.