Active NPI
Jennifer H. Konkle, D.D.S.
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1598041295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008243
- Practice address
- 7350 S McClintock Dr
Suite 103
Tempe, AZ 85283-5006 - Phone
- (480) 838-3073
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D008243 | AZ | Primary |
Addresses
Primary practice location
7350 S McClintock Dr
Suite 103
Tempe, AZ 85283-5006
Mailing address
7350 S McClintock Dr
Suite 103
Tempe, AZ 85283-5006
Phone (480) 838-3073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1598041295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 S MCCLINTOCK DR",
"address_2": "SUITE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852835006",
"telephone_number": "480-838-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 S MCCLINTOCK DR",
"address_2": "SUITE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852835006",
"telephone_number": "480-838-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONKLE",
"first_name": "JENNIFER",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.