Organization Active NPI

Kirk a. Turner, DDS, PA

  • General Practice Dentistry
  • Clemmons, NC
National Provider Identifier
1093867962
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6639 Issued in NC
Legal business name
KIRK A. TURNER, DDS, PA
Doing business as
Clemmons Family Dental
Practice address
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone
(336) 766-9111
Fax
(336) 766-3941
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kirk Alan Turner, DDS
Title
Owner
Phone
(336) 766-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6639 NC Primary

Addresses

Primary practice location

6301 Stadium Dr
Clemmons, NC 27012-8766

Mailing address

PO Box 706
6301 Stadium Drive
Clemmons, NC 27012-0706
Phone (336) 766-9111

Other identifiers 1

IdentifierTypeStateIssuer
8998649MedicaidNC

Other names 1

  • Clemmons Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1093867962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "address_2": "6301 STADIUM DRIVE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120706",
            "telephone_number": "336-766-9111",
            "fax_number": "336-766-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 STADIUM DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128766",
            "telephone_number": "336-766-9111",
            "fax_number": "336-766-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK A. TURNER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-766-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998649",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clemmons Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.