Individual provider Active NPI

Anthony J Turner, DDS

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1578524666
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6489 Issued in KS
Practice address
4100 W Maple St
Wichita, KS 67209-2538
Phone
(316) 945-3335
Fax
(316) 945-3360
NPI assigned
Mar 29, 2006
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6489 KS Primary

Addresses

Primary practice location

4100 W Maple St
Wichita, KS 67209-2538

Mailing address

4100 W Maple St
Wichita, KS 67209-2538
Phone (316) 945-3335

Other identifiers 1

IdentifierTypeStateIssuer
19231OtherKSBCBS KS IDENTIFICATION NU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20170413001712 KS Order and Referring Only - DentistPractitioner - Dentist 5496031221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1578524666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092538",
            "telephone_number": "316-945-3335",
            "fax_number": "316-945-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092538",
            "telephone_number": "316-945-3335",
            "fax_number": "316-945-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS IDENTIFICATION NU",
            "identifier": "19231",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.