OrganizationActive
Derek W. Conklin DMD PC
NPI 1558635391 · Dentist · Sandy, OR
Derek W. Conklin DMD PC is a Dentist organization in Sandy, OR (NPI 1558635391).
Provider details
- NPI number
- 1558635391
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Derek Conklin, President(503) 668-4655
- License
- D8325 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
17471 Shelley Ave Ste a
Sandy, OR 97055-8084
Phone: (503) 668-4655
Fax: (503) 668-8755
Street-level locationGet directions
Mailing address
17471 Shelley Ave Ste a
Sandy, OR 97055-8084
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2012-02-24
Frequently asked questions
- What is Derek W. Conklin DMD PC's NPI number?
- Derek W. Conklin DMD PC's National Provider Identifier (NPI) is 1558635391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derek W. Conklin DMD PC?
- Derek W. Conklin DMD PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Derek W. Conklin DMD PC located?
- Derek W. Conklin DMD PC's practice location on file with NPPES is 17471 Shelley Ave Ste a, Sandy, OR 97055-8084.
- What is Derek W. Conklin DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Derek W. Conklin DMD PC is (503) 668-4655.
- Who is the authorized official for Derek W. Conklin DMD PC?
- The authorized official listed on Derek W. Conklin DMD PC's NPPES record is Derek Conklin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derek W. Conklin DMD PC's NPI active?
- Yes — Derek W. Conklin DMD PC's NPI (1558635391) is active in the NPPES registry as of the last update on 2012-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.