Frank Donald Conklin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012050 Issued in MI

Practice address

9045 US Highway 31
Berrien Springs, MI 49103-1633

Phone

(269) 471-5244

Fax

(269) 471-9232

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University Family Dentistry

  • General Practice Dentistry
  • Berrien Springs, MI
  • NPI 1154947885
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447309372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 US HIGHWAY 31",
            "address_2": "PO BOX 267",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031633",
            "telephone_number": "269-471-5244",
            "fax_number": "269-471-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 US HIGHWAY 31",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031633",
            "telephone_number": "269-471-5244",
            "fax_number": "269-471-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "FRANK",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4049387",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J120500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "657775",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Son
• Todd Richard Christy, DDS
• Sophia Cirigliano
• Ashley Sara Colburn, PHARM.D
• Comfort Care Mobility LLC
• Andrew Cooper, LPC
• Carla Copeland-Joseph
• Ellecia Hope Cousins, LPC
• Sara De Almeida Santana
• Christopher Todd Denda, PSY.D.

• General Practice Dentistry in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.