Active NPI
John O Turner, DMD
- Periodontics
- Bend, OR
National Provider Identifier
1629077425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D-4468
- Practice address
- 300 SW Columbia
Suite 102
Bend, OR 97702 - Phone
- (541) 389-7257
- Fax
- (541) 389-7636
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D-4468 | OR | Primary |
Addresses
Primary practice location
300 SW Columbia
Suite 102
Bend, OR 97702
Mailing address
300 SW Columbia
Suite 102
Bend, OR 97702
Phone (541) 389-7257
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-4468 | OR | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1629077425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SW COLUMBIA",
"address_2": "SUITE 102",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-389-7257",
"fax_number": "541-389-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SW COLUMBIA",
"address_2": "SUITE 102",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-389-7257",
"fax_number": "541-389-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "JOHN",
"middle_name": "O",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "D-4468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.