NPIMap

Organization Active NPI

Konikoff Dental Associates, Inc.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1063570968
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KONIKOFF DENTAL ASSOCIATES, INC.
Practice address
2100 Lynnhaven Pkwy
Suite 100
Virginia Beach, VA 23456-1492
Phone
(757) 416-1800
Fax
(757) 416-9276
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Victoria Johnson
Title
Cro
Phone
(941) 444-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X VA Primary

Addresses

Primary practice location

2100 Lynnhaven Pkwy
Suite 100
Virginia Beach, VA 23456-1492

Mailing address

2100 Lynnhaven Pkwy
Suite 100
Virginia Beach, VA 23456-1492
Phone (757) 416-1800

Other practice location 1

1419 Cedar Rd Ste 100
Chesapeake, VA 23322-7492
Phone (757) 410-5878

Other identifiers 2

IdentifierTypeStateIssuer
019711OtherVAANTHEM
816276OtherUNITED CONCORDIA

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory
Tax ID family
Dental Care Alliance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1419 Cedar Rd
Ste 100
Chesapeake, VA 23322
Phone (757) 319-4911

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1063570968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1800",
            "fax_number": "757-416-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1800",
            "fax_number": "757-416-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Cedar Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227492",
            "country_code": "US",
            "telephone_number": "757-410-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KONIKOFF DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "019711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "816276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.