Individual provider Active NPI

William Blake Turner, DMD

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1841869039
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9895 Issued in SC
Practice address
2060 Charlie Hall Blvd Ste 5a
Charleston, SC 29414-6091
Phone
(843) 763-5665
Fax
(843) 766-7376
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 9895 SC Primary

Addresses

Primary practice location

2060 Charlie Hall Blvd Ste 5a
Charleston, SC 29414-6091

Mailing address

2060 Charlie Hall Blvd Ste 5a
Charleston, SC 29414-6091
Phone (843) 763-5665

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
9895SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley River Comprehensive Family Dentistry, LLC General Practice PastSince Jun 27, 2021 Accepting new patients

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, 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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1841869039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE 5A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146091",
            "telephone_number": "843-763-5665",
            "fax_number": "843-766-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE 5A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146091",
            "telephone_number": "843-763-5665",
            "fax_number": "843-766-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "WILLIAM",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.