DR. BRYAN M KONIKOFF DDS
NPI 1427072404
Dentist - Periodontics in Virginia Beach, VA

Active since July 26, 2006Opted out of Medicare · through Oct 8, 2026
477 VIKING DR, SUITE 190, VIRGINIA BEACH, VA 23452(757) 486-8181(757) 463-0148 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bryan M Konikoff Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN M KONIKOFF DDS (NPI 1427072404) is an individual periodontics provider in Virginia Beach, Virginia, licensed in Virginia (0401410766) and active in the NPI registry since July 2006. He has opted out of Medicare through October 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427072404
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRYAN M KONIKOFFCredential: DDS
Location Address477 VIKING DR, SUITE 190Virginia Beach, VA 23452-7349
Mailing Address477 Viking Dr, Suite 190Virginia Beach, VA 23452-7349 · (757) 486-8181 · Fax (757) 463-0148
Fax(757) 463-0148
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 6, 2007
NPI 1427072404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in VA · 0401410766
Definition

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.

477 VIKING DR, Virginia Beach, VA 23452

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Bryan M Konikoff Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 8, 2012 through October 8, 2026.

Opt-Out Effective DateOctober 8, 2012
Opt-Out In Effect ThroughOctober 8, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452
Ophthalmology
477 VIKING DR, SUITE 110
VIRGINIA BEACH, VA 23452
Dentist (Endodontics)
477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452
Dentist (Endodontics)
477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452
Dentist (Endodontics)
477 VIKING DR, SUTIE #215
VIRGINIA BEACH, VA 23452
Chiropractor
477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452
Pharmacist
477 VIKING DR, SUITE 310
VIRGINIA BEACH, VA 23452
Dentist (Periodontics)
477 VIKING DR
VIRGINIA BEACH, VA 23452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427072404, enumerated as an "individual" on July 26, 2006.

The provider is located at 477 VIKING DR SUITE 190 VIRGINIA BEACH, VA 23452 and the phone number is (757) 486-8181.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.