Bruce August Turner, DDS

Key facts

NPI

1497861595

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

License

9280 (MN)

Practice address

820 2ND Avenue North
Windom, MN 56101

Phone

(507) 831-1370

Fax

(507) 831-5025

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497861595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVENUE NORTH",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "56101",
            "telephone_number": "507-831-1370",
            "fax_number": "507-831-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVENUE NORTH",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "56101",
            "telephone_number": "507-831-1370",
            "fax_number": "507-831-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "BRUCE",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48849TU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "009341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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