Nana Yaw Boamah-Mensah, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30.028169 Issued in OH

Practice address

29102 Lake Shore Blvd
Willowick, OH 44095-4659

Phone

(216) 395-7336

NPI assigned

Jun 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1861131591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 SHERIDAN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122063134",
            "telephone_number": "518-542-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29102 LAKE SHORE BLVD",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954659",
            "telephone_number": "216-395-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 W BOGART RD STE D",
            "address_purpose": "LOCATION",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705792",
            "country_code": "US",
            "telephone_number": "419-627-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOAMAH-MENSAH",
        "first_name": "NANA YAW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.028169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Willowick, OH
• Providers in Willowick, OH by specialty
• Pediatric Dentistry in Ohio

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