Active NPI
Greg David Komyathy, D.D.S.
- Dentist
- Pinehurst, NC
National Provider Identifier
1144273699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11211 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan K Hubbard, DDS, PLLC | General Practice | Current | Accepting new patients |
| Precision Dentistry PLLC | Past | 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.
-
- General Practice Dentistry
- Pinehurst, NC
- NPI 1366270852
-
- Dental Clinic/Center
- Okemos, MI
- NPI 1710510656
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.