Individual provider Active NPI

Greg David Komyathy, D.D.S.

  • Dentist
  • Pinehurst, NC
National Provider Identifier
1144273699
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11211 Issued in NC
Practice address
155 Turnberry Way
Pinehurst, NC 28374-8509
Phone
(910) 695-3050
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016753 MI
Dentist 122300000X 11211 NC Primary

Addresses

Primary practice location

155 Turnberry Way
Pinehurst, NC 28374-8509

Mailing address

155 Turnberry Way
Pinehurst, NC 28374-8509
Phone (910) 695-3050

Other practice location 1

2228 W Grand River Ave
Okemos, MI 48864-1604
Phone (517) 347-0034

Other practice location 2

734 Cedar Hill Dr
Shelby, NC 28152-8074
Phone (517) 285-6443

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

State licenses

LicenseStateTypeSpecialty
11211NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan K Hubbard, DDS, PLLC General Practice CurrentSince Jul 28, 2024 Accepting new patients
Precision Dentistry PLLC PastSince Feb 23, 2020 Accepting new patients

Locations

155 Turnberry Way
Pinehurst, NC 28374
Phone (910) 695-3050

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1144273699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TURNBERRY WAY",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748509",
            "telephone_number": "910-695-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TURNBERRY WAY",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748509",
            "telephone_number": "910-695-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2228 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641604",
            "country_code": "US",
            "telephone_number": "517-347-0034",
            "fax_number": "517-347-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "734 Cedar Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281528074",
            "country_code": "US",
            "telephone_number": "517-285-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMYATHY",
        "first_name": "GREG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016753",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.