Brian Todd Smith Turley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4271-15 Issued in WI

Practice address

184 W Plymouth St
Jefferson, WI 53549-1833

Phone

(920) 674-9567

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1487683165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5184 POPP RD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499651",
            "telephone_number": "920-674-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 W PLYMOUTH ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491833",
            "telephone_number": "920-674-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "BRIAN",
        "middle_name": "TODD SMITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4271-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle A Thomas, PT, DPT
• Antoinio Thornton
• Ashley Timmerman
• Kaitlin Tolliver
• Stacy Marie Tully
• Bridgette Unger, MSW
• Unique in Home Personal Care LLC (UniqueIHPC)
• Urogyn Services, LLC
• Jennifer Lee Utrie
• Morgan Van Der Ploeg, BS

• General Practice Dentistry in Jefferson, WI
• Providers in Jefferson, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.