Active NPI
Thomas Wishard Turnbull, DDS
- Pediatric Dentistry
- Flagstaff, AZ
National Provider Identifier
1942304068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2468
- Practice address
- 1024 N San Francisco
Suite 101
Flagstaff, AZ 86001 - Phone
- (928) 779-0385
- Fax
- (928) 779-6487
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2468 | AZ | Primary |
Addresses
Primary practice location
1024 N San Francisco
Suite 101
Flagstaff, AZ 86001
Mailing address
1415 N Rockridge Rd
Flagstaff, AZ 86001
Phone (928) 774-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827690 | Medicaid | AZ |
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 |
|---|---|---|---|
| 2468 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas W Turnbull DDS PC | Pediatric Dentistry | Past | Accepting new patients |
| Around the Mountain Pediatric Dentistry PLLC | Pediatric Dentistry | 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.
-
- Pediatric Dentistry
- Flagstaff, AZ
- NPI 1760544704
-
- Pediatric Dentistry
- Flagstaff, AZ
- NPI 1831344167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942304068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N ROCKRIDGE RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86001",
"telephone_number": "928-774-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 N SAN FRANCISCO",
"address_2": "SUITE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86001",
"telephone_number": "928-779-0385",
"fax_number": "928-779-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNBULL",
"first_name": "THOMAS",
"middle_name": "WISHARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "2468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0827690",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.