NPIMap

Individual provider Active NPI

Albert Kofi Yamoah, D.D.S.

  • Pediatric Dentistry
  • Corinth, TX
National Provider Identifier
1902239007
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29367 Issued in TX
Practice address
3502 Corinth Pkwy # 400
Corinth, TX 76208-5481
Phone
(940) 353-5437
Fax
(940) 247-7077
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29367 TX
Dentist 122300000X 7133 OK
Pediatric Dentistry 1223P0221X 108 OK
Pediatric Dentistry 1223P0221X 29367 TX Primary

Addresses

Primary practice location

3502 Corinth Pkwy # 400
Corinth, TX 76208-5481

Mailing address

2904 Groveland CT
Denton, TX 76210-0587
Phone (214) 455-4487

Other practice location 1

4417 W Gore Blvd Ste 11
Lawton, OK 73505-5978
Phone (580) 248-8418

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
7133OKMDDentist
29367TXMDDentist
108OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Awesome Kids Dentistry PLLC Dentist CurrentSince Mar 22, 2020 Accepting new patients
KDR Industries, PLLC Pediatric Dentistry Current Accepting new patients
Metroplex Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Oct 1, 2020 Accepting new patients
Chris Larrow PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Wavel L. Wells, DDS, Inc Pediatric Dentistry Past Accepting new patients

Locations

3502 Corinth Pkwy
#400
Corinth, TX 76208
Phone (214) 455-4487

2020 N Masters Dr
Dallas, TX 75217
Phone (469) 297-2989

Organizations & group practices 6

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1902239007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 GROVELAND CT",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100587",
            "telephone_number": "214-455-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 CORINTH PKWY # 400",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085481",
            "telephone_number": "940-353-5437",
            "fax_number": "940-247-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 W Gore Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735055978",
            "country_code": "US",
            "telephone_number": "580-248-8418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMOAH",
        "first_name": "ALBERT",
        "middle_name": "KOFI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29367",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7133",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "108",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.