Active NPI
Okechukwu Anyamele, DDS
- General Practice Dentistry
- Cromwell, CT
National Provider Identifier
1851979025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14001
- Practice address
- 26 Shunpike Rd
Cromwell, CT 06416-2442 - Phone
- (601) 984-6028
- NPI assigned
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14001 | CT | Primary |
Addresses
Primary practice location
26 Shunpike Rd
Cromwell, CT 06416-2442
Mailing address
400 Blake St Apt 4315
New Haven, CT 06515-4420
Phone (601) 398-7111
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 |
|---|---|---|---|
| 14001 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1851979025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BLAKE ST APT 4315",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065154420",
"telephone_number": "601-398-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SHUNPIKE RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162442",
"telephone_number": "601-984-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANYAMELE",
"first_name": "OKECHUKWU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "14001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.