KONIKOFF PERIODONTICS LTD (NPI# 1477706737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477706737 |
| Entity Type | Organization |
| Organization Name | KONIKOFF PERIODONTICS LTD |
| Practice Address |
477 Viking Dr Ste 190 Virginia Beach VA 23452-7354 |
| Practice Telephone | 7574868181 |
| Practice Fax Number | 7574630148 |
| Mailing Telephone | 7574868181 |
| Mailing Fax Number | 7574630148 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | MELODY PRICE (OFFICE MANAGER) |
| Authorized Official Telephone | 7574868181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
477 VIKING DR STE 190 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033370598 | Kenneth J. Cavallari | Dentist | 984 First Colonial Rd Ste 108, Virginia Beach, VA 23454-3196 | 2008-06-18 |
| 1912166869 | Eric Louis Niver | Dentist | 6004 Capital Pl, Virginia Beach, VA 23464-9017 | 2008-06-05 |
| 1437120375 | Steven Carl Fisher | Dentist | 4609 Downeast Ct, Apt. 203, Virginia Beach, VA 23455-2052 | 2006-01-30 |
| 1144228719 | Albert B. Konikoff | Dentist | 477 Viking Dr, Virginia Beach, VA 23452-7354 | 2005-07-08 |
| 1871768390 | Jeremy Shulman | Dentist | 1301 First Colonial Rd, Virginia Beach, VA 23454-2263 | 2008-04-25 |
| 1316163579 | Gary Andrew Hartman | Dentist | 240 Mustang Trail, Suite 1, Virginia Beach, VA 23452-7516 | 2007-04-17 |
| 1073638110 | Dr. Bruce K. Barr, D.d.s., P.C. | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
| 1811012867 | Kenneth W. Marinak | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
| 1851416978 | Bruce Kenneth Barr | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
| 1669597753 | Neil A. Landy, D.m.d. | Dentist | 281 Independence Blvd, Suite 231, Virginia Beach, VA 23462-2986 | 2007-03-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on KONIKOFF PERIODONTICS LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.