Active NPI
Jennifer Balkcum Turner, D.M.D.
- Dentist
- Greenwood, SC
National Provider Identifier
1720165558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013175
- Practice address
- 1202B Hwy 72 W
Greenwood, SC 29649-1816 - Phone
- (864) 229-0305
- Fax
- (864) 227-0831
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013175 | GA | Primary |
| Pediatric Dentistry | 1223P0221X | 672 | SC |
Addresses
Primary practice location
1202B Hwy 72 W
Greenwood, SC 29649-1816
Mailing address
1202B Hwy 72 W
Greenwood, SC 29649-1816
Phone (864) 229-0305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9184436 | Other | GA | DORAL |
| ZX4112 | Medicaid | SC |
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 |
|---|---|---|---|
| DN013175 | GA | MD | Dentist |
| 672 | SC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Greenwood, P.a. | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- jturner206729@selfregional.direct-ci.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Greenwood, SC
- NPI 1215188388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1720165558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202B HWY 72 W",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491816",
"telephone_number": "864-229-0305",
"fax_number": "864-227-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202B HWY 72 W",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491816",
"telephone_number": "864-229-0305",
"fax_number": "864-227-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "JENNIFER",
"middle_name": "BALKCUM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013175",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "672",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9184436",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX4112",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.