Organization Active NPI

Orest G Komarnyckyj DDS PC

Doing business as First Step Dental

  • Periodontics
  • Phoenix, AZ
National Provider Identifier
1023186087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D2707 Issued in AZ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Orest Gregory Komarnyckyj, DDSNPI 1871714741
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.