DR. DEREK CONKLIN D.M.D.
NPI 1396868048
Dentist in Sandy, OR

Q: What is Derek Conklin's NPI number?

The NPI number for Derek Conklin is 1396868048. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Derek Conklin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Conklin was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007PECOS Enrolled

17471 SHELLEY AVE STE A, SANDY, OR 97055(503) 668-4655(503) 668-8755 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Derek Conklin D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK CONKLIN D.M.D. (NPI 1396868048) is an individual dentist in Sandy, Oregon, licensed in Oregon (D8325) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396868048

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DEREK CONKLINCredential: D.M.D.

Location Address17471 SHELLEY AVE STE ASandy, OR 97055-8084

Mailing Address17471 Shelley AveSandy, OR 97055-8084 · (503) 668-4655 · Fax (503) 668-8755

Phone(503) 668-4655

Fax(503) 668-8755

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateFebruary 28, 2012

✔ NPI 1396868048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8325

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

17471 SHELLEY AVE STE A, Sandy, OR 97055

Open in Google Maps ↗

Other Identifiers 1

Medicaid243185OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Conklin D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK W. CONKLIN DMD PC

Dentist

17471 SHELLEY AVE STE A
SANDY, OR 97055

Clackamas County (503) 668-4655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Conklin's NPI number?

The NPI number for Derek Conklin is 1396868048. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Derek Conklin located?

Derek Conklin practices at 17471 Shelley Ave Ste A, Sandy, OR 97055. The listed phone number is (503) 668-4655.

What is Derek Conklin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Derek Conklin enrolled in Medicare?

Yes. Derek Conklin is registered in the Medicare PECOS enrollment system.

What insurance does Derek Conklin accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 9 other insurers list Derek Conklin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Conklin was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.