Individual provider Active NPI

Peter Nnamdi Okwerekwu, DMD, MPH

  • Dentist
  • Troy, NY
National Provider Identifier
1891241675
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857421 Issued in MA
Practice address
1520 6TH Ave Ste 102
Troy, NY 12180-4584
Phone
(518) 274-2660
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857421 MA Primary

Addresses

Primary practice location

1520 6TH Ave Ste 102
Troy, NY 12180-4584

Mailing address

1520 6TH Ave Ste 102
Troy, NY 12180-4584
Phone (518) 274-2660

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
DN1857421MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Driven Dental PLLC CurrentSince May 22, 2022 Accepting new patients

Organizations & group practices 1

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1891241675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 6TH AVE STE 102",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804584",
            "telephone_number": "518-274-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 6TH AVE STE 102",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804584",
            "telephone_number": "518-274-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWEREKWU",
        "first_name": "PETER",
        "middle_name": "NNAMDI",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.