Richard Ryan Conkle, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53444 Issued in CA

Practice address

Compacflt Health Services (N01Hd)
50 Makalapa Drive
Pearl Harbor, HI 96860

Phone

(805) 982-3075

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982798005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPACFLT HEALTH SERVICES (N01HD)",
            "address_2": "50 MAKALAPA DRIVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPACFLT HEALTH SERVICES (N01HD)",
            "address_2": "50 MAKALAPA DRIVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "805-982-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLE",
        "first_name": "RICHARD",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Chock
• Kevin Thomas Cohn, HM2/P.T. TEHCNICIAN
• Coleen L Colahan, D.O.
• Jude Coleman, PHARMACIST
• Joan Eula Flormata Conde, RN
• Manuel Contreras Jr., IDC
• Amy Lynn Coston, RN
• Caroline Marie Crandall, RN
• Raymond Lacbain Credo, IDC
• Jesus Manuel Crespo-Diaz, AHCNS, ACNP-BC

• All providers in Pearl Harbor, HI
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.