Organization Active NPI

Macarena Planken DDS, P.C.

  • General Practice Dentistry
  • Wantagh, NY
National Provider Identifier
1326068263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050686 Issued in NY
Legal business name
MACARENA PLANKEN DDS, P.C.
Practice address
3401 Merrick Rd
Wantagh, NY 11793-4343
Phone
(516) 679-9444
Fax
(516) 679-0855
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Macarena Planken, DDS
Title
President
Phone
(516) 679-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 050686 NY Primary

Addresses

Primary practice location

3401 Merrick Rd
Wantagh, NY 11793-4343

Mailing address

3401 Merrick Rd
Wantagh, NY 11793-4343
Phone (516) 679-9444

Other identifiers 1

IdentifierTypeStateIssuer
02419749MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326068263",
    "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": "516-679-9444",
            "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": "516-679-9444",
            "fax_number": "516-679-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARENA PLANKEN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLANKEN",
        "authorized_official_first_name": "MACARENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-679-9444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02419749",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.