Individual provider Active NPI

Joshua Konikoff, D.D.S.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1649071895
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419579 Issued in VA
Practice address
2105 Princess Anne Rd Ste 108
Virginia Beach, VA 23456-4164
Phone
(757) 516-4977
Fax
(757) 517-0266
NPI assigned
Mar 24, 2025
Reactivated
Jul 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401419579 VA Primary

Addresses

Primary practice location

2105 Princess Anne Rd Ste 108
Virginia Beach, VA 23456-4164

Mailing address

2105 Princess Anne Rd Ste 108
Virginia Beach, VA 23456-4164
Phone (757) 516-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Josh Konikoff Dental Center PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1649071895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PRINCESS ANNE RD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564164",
            "telephone_number": "757-516-4977",
            "fax_number": "757-517-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PRINCESS ANNE RD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564164",
            "telephone_number": "757-516-4977",
            "fax_number": "757-517-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIKOFF",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "deactivation_date": "2026-07-10",
        "reactivation_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419579",
            "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 17, 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.