Active NPI
Hayden Turnbow, DDS
- General Practice Dentistry
- Fort Wayne, IN
National Provider Identifier
1861324287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12015002A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12015002A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jab Dental Inc. | Past | Accepting new patients | |
| Jesse Blair DDS LLC | Past | Accepting new patients | |
| JSBC Services LLC | Past | Accepting new patients | |
| Blair Dental Services LLC | Past | 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.
-
- Dental Clinic/Center
- Kendallville, IN
- NPI 1366325060
-
- Dental Clinic/Center
- Fort Wayne, IN
- NPI 1437049988
-
- Dental Clinic/Center
- Fort Wayne, IN
- NPI 1942184361
-
- Dental Clinic/Center
- Fort Wayne, IN
- NPI 1912886920
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.