Individual provider Active NPI

Brandon James Turley, DDS

  • General Practice Dentistry
  • Quincy, IL
National Provider Identifier
1801389739
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.031651 Issued in IL
Practice address
2801 Broadway St
Quincy, IL 62301-3664
Phone
(217) 224-7645
Fax
(217) 224-8465
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 019.031651 IL Primary

Addresses

Primary practice location

2801 Broadway St
Quincy, IL 62301-3664

Mailing address

2801 Broadway St
Quincy, IL 62301-3664
Phone (217) 224-7645

Other practice location 1

3327 Main St
Keokuk, IA 52632-2225
Phone (319) 524-8811

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

LicenseStateTypeSpecialty
019.031651ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1801389739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013664",
            "telephone_number": "217-224-7645",
            "fax_number": "217-224-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013664",
            "telephone_number": "217-224-7645",
            "fax_number": "217-224-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3327 Main St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526322225",
            "country_code": "US",
            "telephone_number": "319-524-8811",
            "fax_number": "319-524-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.