NPIMap

Organization Active NPI

Thomas W Turnbull DDS PC

  • Pediatric Dentistry
  • Flagstaff, AZ
National Provider Identifier
1760544704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
07430154 Issued in AZ
Legal business name
THOMAS W TURNBULL DDS PC
Practice address
1024 N San Francisco St
Suite 101
Flagstaff, AZ 86001
Phone
(928) 779-0385
Fax
(928) 779-6487
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Wishard Turnbull, DDSNPI 1942304068
Title
President
Phone
(928) 779-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 07430154 AZ Primary

Addresses

Primary practice location

1024 N San Francisco St
Suite 101
Flagstaff, AZ 86001

Mailing address

1024 N San Francisco St
Suite 101
Flagstaff, AZ 86001
Phone (928) 779-0385

Other identifiers 1

IdentifierTypeStateIssuer
0827690MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1024 N San Francisco St
Ste 101
Flagstaff, AZ 86001
Phone (928) 779-0385

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760544704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N SAN FRANCISCO ST",
            "address_2": "SUITE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-0385",
            "fax_number": "928-779-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N SAN FRANCISCO ST",
            "address_2": "SUITE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-0385",
            "fax_number": "928-779-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W TURNBULL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNBULL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WISHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-779-0385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "07430154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827690",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.