What is Ivan Konkin's NPI number?

Ivan Konkin's National Provider Identifier (NPI) is 1265067615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ivan Konkin's specialty?

Ivan Konkin is listed in the NPPES registry with a primary specialty of Denturist (Dental Providers).

Where is Ivan Konkin located?

Ivan Konkin's practice location on file with NPPES is 12661 Se Powell Blvd Ste C, Portland, OR 97236-3400.

What is Ivan Konkin's phone number?

The practice phone number listed in the NPPES registry for Ivan Konkin is (503) 655-4007.

Is Ivan Konkin's NPI active?

Yes — Ivan Konkin's NPI (1265067615) is active in the NPPES registry as of the last update on 2020-03-06.

IndividualActive

Ivan Konkin

NPI 1265067615 · Denturist · Portland, OR

Ivan Konkin is a Denturist provider in Portland, OR (NPI 1265067615).

Provider details

NPI number: 1265067615
Entity type: Individual
Primary specialty: DenturistDental Providers
Sex: Male
Sole proprietor: Yes
License: DT-DO-10204635 (OR)

Specialties & taxonomies

DenturistPrimary122400000XLicense DT-DO-10204635 (OR)
Dental Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12661 Se Powell Blvd Ste C

Portland, OR 97236-3400

Phone: (503) 655-4007

Street-level locationGet directions

More OR providers

Mailing address