NPIMap

Organization Active NPI

D Jensen Turner DMD LLC

Doing business as Pediatric Dentistry of Spartanburg

  • Pediatric Dentistry
  • Spartanburg, SC
National Provider Identifier
1902323868
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
780 Issued in SC
Legal business name
D JENSEN TURNER DMD LLC
Doing business as
Pediatric Dentistry of Spartanburg
Practice address
365 E Blackstock Rd Ste B
Spartanburg, SC 29301-3762
Phone
(864) 574-4287
Fax
(864) 574-4118
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Donald Jensen Turner, DMDNPI 1134432099
Title
Owner
Phone
(864) 209-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 780 SC Primary

Addresses

Primary practice location

365 E Blackstock Rd Ste B
Spartanburg, SC 29301-3762

Mailing address

365 E Blackstock Rd Ste B
Spartanburg, SC 29301-3762
Phone (864) 574-4287

Other identifiers 1

IdentifierTypeStateIssuer
ZX6923MedicaidSC

Other names 1

  • Pediatric Dentistry of Spartanburg Doing business as

National Provider Directory

National Provider Directory

Locations

365 E Blackstock Rd
#B
Spartanburg, SC 29301
Phone (864) 574-4287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902323868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E BLACKSTOCK RD STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013762",
            "telephone_number": "864-574-4287",
            "fax_number": "864-574-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E BLACKSTOCK RD STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013762",
            "telephone_number": "864-574-4287",
            "fax_number": "864-574-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D JENSEN TURNER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JENSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-209-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX6923",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Spartanburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.