Individual provider Active NPI

Ryan Conklin

  • Hearing Instrument Specialist
  • Phoenix, AZ
National Provider Identifier
1649784158
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE10490 Issued in AZ
Practice address
434 N 42ND St Apt 4
Phoenix, AZ 85008-6403
Phone
(314) 305-3039
NPI assigned
Nov 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HADE10490 AZ Primary

Addresses

Primary practice location

434 N 42ND St Apt 4
Phoenix, AZ 85008-6403

Mailing address

434 N 42ND St Apt 4
Phoenix, AZ 85008-6403
Phone (314) 305-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HADE10490AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Az LLC Single Specialty Current Accepting new patients

Locations

625 W Southern Ave
Mesa, AZ 85210

625 W Southern Ave
Ste E
Mesa, AZ 85210
Phone (602) 483-6356

16165 N 83rd Ave
Ste 200
Peoria, AZ 85382
Phone (480) 974-1912

7600 N 15th St
Ste 150
Phoenix, AZ 85020
Phone (480) 256-8240

2924 N 24th St
Ste 114
Phoenix, AZ 85016

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

4500 N 32nd St
Ste 122
Phoenix, AZ 85018

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

18444 N 25th Ave
Phoenix, AZ 85023
Phone (480) 239-9794

18444 N 25th Ave
Ste 420
Phoenix, AZ 85023
Phone (602) 499-9952

10000 N 31st Ave
Ste D406B
Phoenix, AZ 85051

17470 N Pacesetter Way
Scottsdale, AZ 85255
Phone (480) 331-1247

3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251
Phone (480) 719-6554

17470 N Pacesetter Way
Ste 123
Scottsdale, AZ 85255

6424 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 296-2996

8655 E Via de Ventura
Scottsdale, AZ 85258
Phone (480) 607-3520

7150 E Camelback Rd
Ste 444
Scottsdale, AZ 85251
Phone (480) 847-0887

64 E Broadway Rd
Ste 200
Tempe, AZ 85282
Phone (202) 375-4508

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1649784158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 N 42ND ST APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086403",
            "telephone_number": "314-305-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N 42ND ST APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086403",
            "telephone_number": "314-305-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADE10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.