Individual provider Active NPI

Brandon Lee Turley, DMD

  • Dentist
  • Redmond, OR
National Provider Identifier
1447452503
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9078 Issued in OR
Practice address
646 SW Rimrock Way
Redmond, OR 97756-1937
Phone
(406) 600-4859
NPI assigned
Jun 1, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2219 MT
Dentist 122300000X 9078 OR Primary

Addresses

Primary practice location

646 SW Rimrock Way
Redmond, OR 97756-1937

Mailing address

61154 Camden PL
Bend, OR 97702-9566
Phone (406) 600-4859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 29, 2017 through Jun 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2219MTMDClinical Social Worker
9078ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1447452503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61154 CAMDEN PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029566",
            "telephone_number": "406-600-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 SW RIMROCK WAY",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561937",
            "telephone_number": "406-600-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2219",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "9078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.