Orest G Komarnyckyj, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D2707 Issued in AZ

Practice address

1277 E Missouri Ave
Suite 208
Phoenix, AZ 85014-2915

Phone

(602) 266-3430

Fax

(602) 266-7519

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orest G Komarnyckyj DDS PC

  dba First Step Dental

  • Periodontics
  • Phoenix, AZ
  • NPI 1023186087
  Authorized official Same address or phone

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1871714741",
    "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",
            "fax_number": "602-266-7519"
        },
        {
            "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",
            "fax_number": "602-266-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMARNYCKYJ",
        "first_name": "OREST",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Kollie, RBT
• Kristin Carol Kolodziej, FNP
• Chelsee Kolterman
• Amy Rebecca Kolwaite, PNP
• Gina M Komara, MS
• Ivan Adrian Komerdelj, PHARMD
• Michelle Marie Kometh, LCSW
• Stephen Jeremy Kominsky, D.P.M.
• Olubukola Komolafe, NURSE PRACTITIONER
• Linda Ellen Kompara, RKT

• Periodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.