Active NPI
Lisa A Turner, DDS
- Periodontics
- Venice, FL
National Provider Identifier
1922416379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN24179
- Practice address
- 1531 Tamiami TRL S Ste 701
Venice, FL 34285-5575 - Phone
- (941) 497-5591
- NPI assigned
- Jul 30, 2014
- Last updated
- Dec 17, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN24179 | FL | Primary |
Addresses
Primary practice location
1531 Tamiami TRL S Ste 701
Venice, FL 34285-5575
Mailing address
1531 Tamiami TRL S Ste 701
Venice, FL 34285-5575
Phone (804) 921-8162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN24179 | Other | FL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | periochat@comcast.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710002190 | VA | Order and Referring Only - Dentist | 8123349149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24179 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1922416379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 TAMIAMI TRL S STE 701",
"city": "VENICE",
"state": "FL",
"postal_code": "342855575",
"telephone_number": "804-921-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 TAMIAMI TRL S STE 701",
"city": "VENICE",
"state": "FL",
"postal_code": "342855575",
"telephone_number": "941-497-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "LISA",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN24179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DN24179",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "periochat@comcast.net",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1531 Tamiami Trl S Ste 701",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342855575",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.