Active NPI
Rogelio Martin Turner, RDA
- Dental Assistant
- San Diego, CA
National Provider Identifier
1043671100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 55484
- Practice address
- 950 S Euclid Ave
San Diego, CA 92114-6201 - Phone
- (619) 662-4100
- Fax
- (619) 662-4194
- NPI assigned
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 55484 | CA | Primary |
Addresses
Primary practice location
950 S Euclid Ave
San Diego, CA 92114-6201
Mailing address
4140 Altadena Ave Apt 4
San Diego, CA 92105-2278
Phone (619) 838-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55484 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1043671100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 ALTADENA AVE APT 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052278",
"telephone_number": "619-838-5220",
"fax_number": "619-662-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921146201",
"telephone_number": "619-662-4100",
"fax_number": "619-662-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "ROGELIO",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "55484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.