Individual provider Active NPI

A Ruben Turley, DDS

  • Dentist
  • Mesa, AZ
National Provider Identifier
1831298579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AZ2569 Issued in AZ
Practice address
6549 East University Drive
Mesa, AZ 85205-7600
Phone
(480) 981-0590
Fax
(480) 981-0598
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AZ2569 AZ Primary
Dentist 122300000X AZ6562 AZ

Addresses

Primary practice location

6549 East University Drive
Mesa, AZ 85205-7600

Mailing address

6549 East University Drive
Mesa, AZ 85205-7600
Phone (480) 981-0590

Other names 1

  • Dr. Daniel Mullenaux Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ2569AZMDDentist
AZ6562AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831298579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 EAST UNIVERSITY DRIVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057600",
            "telephone_number": "480-981-0590",
            "fax_number": "480-981-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 EAST UNIVERSITY DRIVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057600",
            "telephone_number": "480-981-0590",
            "fax_number": "480-981-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "A",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ2569",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ6562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "MULLENAUX",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.