Kenneth Ernest Danyluk, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5346 Issued in AZ

Practice address

4350 E Ray Rd Ste 121 BLDG 4
Phoenix, AZ 85044-4705

Phone

(480) 759-3333

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Team Kids Dental PLLC

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1144168626
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376654715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16638 S MOUNTAIN STONE TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850482081",
            "telephone_number": "480-759-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 121 BLDG 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444705",
            "telephone_number": "480-759-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANYLUK",
        "first_name": "KENNETH",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "5346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dantal Dental Two Corporation
• Dantia Wellness LLC
• Dantreel Pate
• Vishnu Dantu
• Laura Lee Dantzler, MS, RDN
• Catherine J Danzinger
• Danthuy Ngoc Dao, D.O.
• Jung T Dao, MD
• Karen Dao, PHARM.D
• Krystle Yen Dao

• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.