NPIMap

Organization Active NPI

Konikoff Dental

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1285032995
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414697 Issued in VA
Legal business name
KONIKOFF DENTAL
Practice address
2100 Lynnhaven Pkwy
Suite #100
Virginia Beach, VA 23456-1492
Phone
(757) 416-1400
NPI assigned
Dec 11, 2014
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 J Johnson
Title
Cro
Phone
(941) 444-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401414697 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) 416-1400

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

2100 Lynnhaven Pkwy
Ste 100
Virginia Beach, VA 23456
Phone (757) 416-1400

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1285032995",
    "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": "757-416-1400",
            "fax_number": "757-257-0085"
        },
        {
            "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": "757-416-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONIKOFF DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.