Individual provider Active NPI

Eric A Turnidge, DMD

  • General Practice Dentistry
  • Gering, NE
National Provider Identifier
1285919936
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7279 Issued in NE
Practice address
975 Crescent Dr
Gering, NE 69341-1712
Phone
(308) 632-2540
Fax
(308) 633-2650
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60242043 WA
General Practice Dentistry 1223G0001X 2012012890 MO
General Practice Dentistry 1223G0001X 7279 NE Primary

Addresses

Primary practice location

975 Crescent Dr
Gering, NE 69341-1712

Mailing address

3000 SE 3Rd St
Blue Springs, MO 64014-5020
Phone (509) 994-2030

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

LicenseStateTypeSpecialty
2012012890MOMDGeneral Practice Dentistry
DE60242043WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1285919936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SE 3RD ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145020",
            "telephone_number": "509-994-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CRESCENT DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411712",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNIDGE",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60242043",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012012890",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.