Dylan Konkle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6173 Issued in OR

Practice address

424 NE Franklin Ave
Bend, OR 97701-4919

Phone

(541) 388-3588

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Ruegsegger Chiropractic PCGroup PAC ID 5193031656, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ruegsegger Chiropractic, PC

  • Clinic/Center
  • Bend, OR
  • NPI 1437533676
  Medicare reassignment Care Compare group NPD
• Goulart Family Chiropractic Inc

  • Chiropractor
  • Bend, OR
  • NPI 1093993156
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1881324440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKLE",
        "first_name": "DYLAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Larry Koerner, MD
• Erica Kokkeler, CFNC
• Susan Kolb, MS, LPC
• Kevin J Kolcun, PA
• Richard Lynn Koller, M.D.
• David Koonce, LMT
• Tonya I Koopman, NP
• Taylor Kopecky, DPT
• Ellyn M Kornfeind, MD
• Stephen B Kornfeld, MD

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.