NPIMap

Organization Active NPI

Cameron Conkin DDS, Oral and Maxillofacial Surgeon, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1891063368
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
12011582A Issued in IN
Legal business name
CAMERON CONKIN DDS, ORAL AND MAXILLOFACIAL SURGEON, LLC
Practice address
8101 Shelby St
Ste a
Indianapolis, IN 46227-6224
Phone
(317) 882-2595
Fax
(317) 882-5745
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Cameron H Conkin, DDSNPI 1447368873
Title
Oral and Maxillofacial Surgeon
Phone
(317) 882-2595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 12011582A IN Primary

Addresses

Primary practice location

8101 Shelby St
Ste a
Indianapolis, IN 46227-6224

Mailing address

8101 Shelby St
Ste a
Indianapolis, IN 46227-6224
Phone (317) 882-2595

National Provider Directory

National Provider Directory

Locations

8101 Shelby St
Indianapolis, IN 46227
Phone (317) 882-2595

8101 Shelby St
Ste A
Indianapolis, IN 46227
Phone (317) 882-2595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1891063368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SHELBY ST",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276224",
            "telephone_number": "317-882-2595",
            "fax_number": "317-882-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SHELBY ST",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276224",
            "telephone_number": "317-882-2595",
            "fax_number": "317-882-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON CONKIN DDS, ORAL AND MAXILLOFACIAL SURGEON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "CONKIN",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "317-882-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.