Individual provider Active NPI

Kimberly Niessen Turner, DMD

  • Dentist
  • Savannah, GA
National Provider Identifier
1720203912
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013747 Issued in GA
Practice address
310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632
Phone
(912) 355-2688
NPI assigned
Apr 14, 2007
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013747 GA Primary

Addresses

Primary practice location

310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632

Mailing address

310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632
Phone (912) 355-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160111000654 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315249133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Periodontics, P.C Past Accepting new patients
Michael B. Dayoub, DDS, Ms Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1720203912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KIMBERLY",
        "middle_name": "NIESSEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.