Organization Active NPI

Planken Dental Integrative Wellness PC

  • General Practice Dentistry
  • Wantagh, NY
National Provider Identifier
1235097882
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PLANKEN DENTAL INTEGRATIVE WELLNESS PC
Practice address
3401 Merrick Rd
Wantagh, NY 11793-4343
Phone
(516) 783-4421
Fax
(516) 679-0855
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Macarena Planken, DDSNPI 1730109943
Title
Owner
Phone
(516) 783-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3401 Merrick Rd
Wantagh, NY 11793-4343

Mailing address

3401 Merrick Rd
Wantagh, NY 11793-4343
Phone (516) 783-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260310002792 NY Part B Supplier - Clinic/Group Practice 1254814122 Receives reassigned benefits from 1 practitioner
Practice locations: Wantagh, NY
O20260522000191 NY DME Supplier - Oral Surgery - Dentist 1254814122 Practice locations: Wantagh, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1235097882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934343",
            "telephone_number": "516-783-4421",
            "fax_number": "516-679-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934343",
            "telephone_number": "516-783-4421",
            "fax_number": "516-679-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANKEN DENTAL INTEGRATIVE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "PLANKEN",
        "authorized_official_first_name": "MACARENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-783-4421",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.