Individual provider Active NPI

Hayden Turnbow, DDS

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1861324287
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12015002A Issued in IN
Practice address
2409 Fairoak Dr
Fort Wayne, IN 46809-2301
Phone
(260) 747-5745
NPI assigned
Jun 1, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 12015002A IN Primary

Addresses

Primary practice location

2409 Fairoak Dr
Fort Wayne, IN 46809-2301

Mailing address

2121 E Dupont Rd Ste a
Fort Wayne, IN 46825-1546

Other practice location 1

2121 E DuPont Rd Ste A
Fort Wayne, IN 46825-1546
Phone (260) 490-9684

Other practice location 2

10218 Chestnut Plaza Dr
Fort Wayne, IN 46814-8970
Phone (260) 616-1003

Other practice location 3

900 S Main St
Kendallville, IN 46755-2025
Phone (260) 544-1058

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
12015002AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jab Dental Inc. PastSince Jul 13, 2025 Accepting new patients
Jesse Blair DDS LLC PastSince Aug 3, 2025 Accepting new patients
JSBC Services LLC PastSince Sep 8, 2025 Accepting new patients
Blair Dental Services LLC PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 4

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": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1861324287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E DUPONT RD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 FAIROAK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092301",
            "telephone_number": "260-747-5745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E DuPont Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251546",
            "country_code": "US",
            "telephone_number": "260-490-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10218 Chestnut Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468148970",
            "country_code": "US",
            "telephone_number": "260-616-1003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552025",
            "country_code": "US",
            "telephone_number": "260-544-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNBOW",
        "first_name": "HAYDEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12015002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.