Organization Active NPI

Gary D. Oreskovich, D.D.S., P.C.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1437339587
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3579 Issued in AZ
Legal business name
GARY D. ORESKOVICH, D.D.S., P.C.
Practice address
1526 W Glendale Ave
Ste 107
Phoenix, AZ 85021-8576
Phone
(602) 995-7279
Fax
(602) 995-7244
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Gary D Oreskovich, D.D.S.
Title
President
Phone
(602) 995-7279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3579 AZ Primary

Addresses

Primary practice location

1526 W Glendale Ave
Ste 107
Phoenix, AZ 85021-8576

Mailing address

1526 W Glendale Ave
Ste 107
Phoenix, AZ 85021-8576
Phone (602) 995-7279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1437339587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE",
            "address_2": "STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE",
            "address_2": "STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. ORESKOVICH, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "ORESKOVICH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-995-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 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.