Active NPI
Reuben Nelson Turner, D.D.S.
- Dental Anesthesiology
- Mesa, AZ
National Provider Identifier
1184799538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- D5409
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (480) 332-5541
- Fax
- (866) 814-1886
- NPI assigned
- Nov 21, 2006
- Last updated
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Anesthesiology | 1223D0004X | D5409 | AZ | Primary |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
3354 E Indigo Cir
Mesa, AZ 85213-3270
Phone (480) 332-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574427 | Medicaid | AZ |
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 |
|---|---|---|---|
| D5409 | AZ | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Care Anesthesia, LLC | Dental Anesthesiology | Current | Accepting new patients |
| Desert State Dental Anesthesia, LLC | Dental Anesthesiology | Past | Accepting new patients |
Locations
3707 E Southern Ave
Mesa, AZ 85206
Phone (480) 509-7738
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Anesthesiology
- Mesa, AZ
- NPI 1881185791
-
- Dental Anesthesiology
- Mesa, AZ
- NPI 1407994676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1184799538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3354 E INDIGO CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852133270",
"telephone_number": "480-332-5541",
"fax_number": "866-814-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-332-5541",
"fax_number": "866-814-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "REUBEN",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "AZ",
"license": "D5409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574427",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.