NPIMap

Organization Active NPI

Suite 2229 Dental PLLC

  • Dentist
  • Commack, NY
National Provider Identifier
1922640911
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUITE 2229 DENTAL PLLC
Practice address
645 Commack Rd
Commack, NY 11725-5401
Phone
(631) 858-9800
NPI assigned
Oct 11, 2019
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 Johnson
Title
Cro
Phone
(941) 444-0558

Specialties & licenses 1

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

Addresses

Primary practice location

645 Commack Rd
Commack, NY 11725-5401

Mailing address

150 Broadway RM 1310
New York, NY 10038-4365
Phone (212) 587-0202

Other practice location 1

150 Broadway Rm 1310
New York, NY 10038-4365
Phone (212) 587-0202

National Provider Directory

National Provider Directory

Locations

150 Broadway
Rm 1310
New York, NY 10038
Phone (212) 587-0202

Practitioners & affiliated clinicians

Practitioners 9

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": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1922640911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1310",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384365",
            "telephone_number": "212-587-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255401",
            "telephone_number": "631-858-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Broadway Rm 1310",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384365",
            "country_code": "US",
            "telephone_number": "212-587-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUITE 2229 DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

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.