GARY KOMENAKA DMD
NPI 1649284118
Dentist - General Practice in Petaluma, CA
About Gary Komenaka Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY KOMENAKA DMD (NPI 1649284118) is an individual general practice provider in Petaluma, California, licensed in California (54488) and active in the NPI registry since July 2006. He has opted out of Medicare through April 18, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Gary Komenaka Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 18, 2017 through April 18, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Komenaka's NPI number?
The NPI number for Gary Komenaka is 1649284118. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Gary Komenaka located?
Gary Komenaka practices at 249 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 765-9262.
What is Gary Komenaka's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Gary Komenaka enrolled in Medicare?
No. Gary Komenaka has opted out of Medicare through April 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Gary Komenaka accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 6 other insurers list Gary Komenaka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gary Komenaka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
