Jaclyn R Turnbow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61004 Issued in KS

Practice address

625 E Russell Ave Ste C
Warrensburg, MO 64093-1273

Phone

(660) 747-7512

NPI assigned

Jun 14, 2013

Last updated

Nov 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jaclyn R Thomure Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  MO

  Medicare reassignment NPD
• Bennett L Turnbow DDS PC

  dba Turnbow Family Dental

  • Dental Clinic/Center
  • Warrensburg, MO
  • NPI 1316019078
  NPD (past)
• The Indian Springs Dental Clinic, LLC

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1144207705
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700956800000",
    "number": "1174962955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 SYCAMORE RD",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640348920",
            "telephone_number": "573-639-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E RUSSELL AVE STE C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931273",
            "telephone_number": "660-747-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBOW",
        "first_name": "JACLYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013042705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "THOMURE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Thompson
• Samantha Tienken, MA, ATC
• Jessica Tolias, M.S. CCC-SLP
• Nicole Townsend, LPN
• Emily Trelow
• William Andrew Turnbow, D.D.S
• Gary Turner, PHARMACIST
• Joni Loreen Turner, M.S. CCC-SLP
• Patricia J Turner
• Robert N. Turner, M.D.

• General Practice Dentistry in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.