Active NPI
Kevin R Conchieri, DMD
- Dentist
- Bellingham, WA
National Provider Identifier
1346819372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61301543
- Practice address
- 1616 Cornwall Ave Ste 205
Bellingham, WA 98225-4642 - Phone
- (360) 676-6177
- Fax
- (360) 671-3574
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61301543 | WA | Primary |
Addresses
Primary practice location
1616 Cornwall Ave Ste 205
Bellingham, WA 98225-4642
Mailing address
1911 18TH St Apt J4
Bellingham, WA 98225-8044
Phone (802) 734-1088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428003505 | WA | Order and Referring Only - Dentist | 4385160886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61301543 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDC-Shiloh PC | General Practice | Past | Accepting new patients |
| Turley Dental Care, PC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Billings, MT
- NPI 1700239340
-
- General Practice Dentistry
- Billings, MT
- NPI 1184775702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1346819372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 18TH ST APT J4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982258044",
"telephone_number": "802-734-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE STE 205",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254642",
"telephone_number": "360-676-6177",
"fax_number": "360-671-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCHIERI",
"first_name": "KEVIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "61301543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.