Active NPI
Kwame Otuo-Achampong, DDS
- General Practice Dentistry
- Montgomery, AL
National Provider Identifier
1902474786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-0007128-C1
- Practice address
- 3439 B McGehee Rd Ste 22
Montgomery, AL 36111-3392 - Phone
- (334) 284-0228
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-0007128-C1 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| General Practice Dentistry | 1223G0001X | D-0007128-C1 | AL | Primary |
Addresses
Primary practice location
3439 B McGehee Rd Ste 22
Montgomery, AL 36111-3392
Mailing address
3322 W End Ave Ste 400
Nashville, TN 37203-6805
Phone (629) 999-5014
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Dental Oral Health and Vision Center of Alabama, P.C. | Current | Accepting new patients | |
| Advantage Dental Oral Health and Vision Center of Alabama, P.C. | Current | Accepting new patients |
Locations
3439 McGehee Rd
Ste 22
Montgomery, AL 36111
Phone (334) 284-0228
3322 West End Ave
Ste 400
Nashville, TN 37203
Phone (629) 999-5014
Organizations & group practices 2
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.
-
- Optometrist
- Montgomery, AL
- NPI 1801372958
-
- Pediatric Dentistry
- Montgomery, AL
- NPI 1942614417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1902474786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 W END AVE STE 400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372036805",
"telephone_number": "629-999-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3439 B MCGEHEE RD STE 22",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361113392",
"telephone_number": "334-284-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTUO-ACHAMPONG",
"first_name": "KWAME",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2022-12-12",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D-0007128-C1",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D-0007128-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.