Individual provider Active NPI

Thomas Scott Turry, D.D.S.

  • General Practice Dentistry
  • Forest Lake, MN
National Provider Identifier
1932370475
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9762 Issued in MN
Practice address
20 Lake St N
Suite 205
Forest Lake, MN 55025-2523
Phone
(651) 464-3052
Fax
(651) 464-4023
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 9762 MN Primary

Addresses

Primary practice location

20 Lake St N
Suite 205
Forest Lake, MN 55025-2523

Mailing address

20 Lake St N
Suite 205
Forest Lake, MN 55025-2523
Phone (651) 464-3052

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
9762MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Libby Dental, LLC PastSince Nov 3, 2024 Accepting new patients
Thomas S Turry PA General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1932370475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKE ST N",
            "address_2": "SUITE 205",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252523",
            "telephone_number": "651-464-3052",
            "fax_number": "651-464-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKE ST N",
            "address_2": "SUITE 205",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252523",
            "telephone_number": "651-464-3052",
            "fax_number": "651-464-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURRY",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.