Individual provider Active NPI

Macarena Planken, DDS

  • General Practice Dentistry
  • Wantagh, NY
National Provider Identifier
1730109943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050686 Issued in NY
Practice address
3401 Merrick Rd
Wantagh, NY 11793-4343
Phone
(516) 679-9444
Fax
(516) 679-0855
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310002926 NY Practitioner - Dentist 3072096940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1150 Primrose Dr
Roswell, GA 30076-4217

1325 Bridge Mill Ave
Canton, GA 30114-7762

3401 Merrick Rd
Wantagh, NY 11793-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050686NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Planken Dental Integrative Wellness PC General Practice CurrentSince Jan 21, 2026 Accepting new patients
Planken Integrative Wellness, Inc. General Practice Current Accepting new patients

Locations

3401 Merrick Rd
Wantagh, NY 11793
Phone (516) 679-9800

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730109943",
    "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": {
        "last_name": "PLANKEN",
        "first_name": "MACARENA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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

Verify at the official NPI Registry.