Active NPI
Orest G Komarnyckyj DDS PC
Doing business as First Step Dental
- Periodontics
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D2707
- Legal business name
- OREST G KOMARNYCKYJ DDS PC
- Doing business as
- First Step Dental
- Practice address
- 1277 E Missouri Ave
Suite 208
Phoenix, AZ 85014-2915 - Phone
- (602) 266-3430
- NPI assigned
- Nov 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Orest Gregory Komarnyckyj, DDS
- Title
- President Periodontist
- Phone
- (602) 266-3430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D2707 | AZ | Primary |
Addresses
Primary practice location
1277 E Missouri Ave
Suite 208
Phoenix, AZ 85014-2915
Mailing address
1277 E Missouri Ave
Suite 208
Phoenix, AZ 85014-2915
Phone (602) 266-3430
Other names 1
- First Step Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Periodontics
- Phoenix, AZ
- NPI 1871714741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023186087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 E MISSOURI AVE",
"address_2": "SUITE 208",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142915",
"telephone_number": "602-266-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 E MISSOURI AVE",
"address_2": "SUITE 208",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142915",
"telephone_number": "602-266-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREST G KOMARNYCKYJ DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOMARNYCKYJ",
"authorized_official_first_name": "OREST",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT PERIODONTIST",
"authorized_official_telephone_number": "602-266-3430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "D2707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Step Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.