Individual provider Active NPI

Kevin Victor Turner, DDS

  • Dentist
  • Cary, NC
National Provider Identifier
1104987809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5535 Issued in NC
Practice address
100 Ridge View Dr
Suite 101
Cary, NC 27511-5589
Phone
(919) 481-0330
Fax
(919) 481-1565
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5535 NC Primary

Addresses

Primary practice location

100 Ridge View Dr
Suite 101
Cary, NC 27511-5589

Mailing address

100 Ridge View Dr
Suite 101
Cary, NC 27511-5589
Phone (919) 481-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150725012664 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325351984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D Pesicek DDS PA Past Accepting new patients
Robert Kirk Wilkie, DDS and Kevin Victor Turner, DDS, PA Dentist PastSince Jun 2, 1986 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104987809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-481-0330",
            "fax_number": "919-481-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-481-0330",
            "fax_number": "919-481-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KEVIN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.