Individual provider Active NPI

Jonathan B Turgeon, D.D.S.

  • General Practice Dentistry
  • Bossier City, LA
National Provider Identifier
1851543920
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5937 Issued in LA
Practice address
2160 Airline Dr
Suite B
Bossier City, LA 71111-1608
Phone
(318) 741-6778
Fax
(318) 741-6780
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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 5937 LA Primary

Addresses

Primary practice location

2160 Airline Dr
Suite B
Bossier City, LA 71111-1608

Mailing address

2160 Airline Dr
Suite B
Bossier City, LA 71111-1608
Phone (318) 741-6778

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
5937LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathon B Turgeon a Proffessional Dental Limited Liability Company Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1851543920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111608",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111608",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURGEON",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.