NPIMap

Organization Active NPI

Konikoff Dental Specialists, Inc.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1679914394
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KONIKOFF DENTAL SPECIALISTS, INC.
Practice address
2100 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23456-1492
Phone
(757) 416-1400
Fax
(757) 282-7630
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mrs. Pauline Heath
Title
Ceo
Phone
(757) 416-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2100 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23456-1492

Mailing address

2100 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23456-1492
Phone (757) 416-1400

National Provider Directory

National Provider Directory

Locations

2100 Lynnhaven Pkwy
Ste 200
Virginia Beach, VA 23456
Phone (757) 416-1400

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": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1679914394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1400",
            "fax_number": "757-282-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1400",
            "fax_number": "757-282-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONIKOFF DENTAL SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-416-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 10, 2013; 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.