Kwame a. Gyampo DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KWAME A. GYAMPO DDS PLLC

Practice address

632 Gary St
Durham, NC 27703-2299

Phone

(919) 682-4861

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kwame Gyampo, DDS

Title

Owner

Phone

(401) 854-6537

Specialties & licenses 1

Addresses

Other names 1

• Providence Smiles Doing business as

Locations

Practitioners 2

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

• Matthew Graham Berkelhammer, DDS

  • Dentist
  • Durham, NC
  • NPI 1346972734
  NPD
• John Chester Berry Jr, DDS

  • General Practice Dentistry
  • Durham, NC
  • NPI 1760426159
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1801413802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 GARY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032299",
            "telephone_number": "919-682-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 GARY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032299",
            "telephone_number": "919-682-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAME A. GYAMPO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "GYAMPO",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-854-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly Lynn Kutchma, RN, MSN, CPNP
• Andrew Lee Kuyper
• Samuel Joseph Kuzminski, M.D.
• Katrina Noel Kuzyszyn-Jones, PSY.D.
• Vivian Kwabia, OTR/L
• Lauren Strasser Kwankam, PA-C
• David C Kwee, MD
• Caroline Kwok
• Grace Kwon, MD, PHD
• Lindy Noelle Kyger, PA-C

• All providers in Durham, NC
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.