Individual provider Active NPI

Alec Jacob Temlock, DMD

  • Periodontics
  • Nashville, TN
National Provider Identifier
1013280676
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12468 Issued in TN
Practice address
2000 21St Ave S
Nashville, TN 37212-4362
Phone
(615) 385-3334
Fax
(615) 385-3335
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 58799 CA
Periodontics 1223P0300X 12468 TN Primary

Addresses

Primary practice location

2000 21St Ave S
Nashville, TN 37212-4362

Mailing address

4121 Elder PL
Nashville, TN 37215-1732
Phone (617) 895-8766

Other practice location 1

5111 Maryland Way Ste 308
Brentwood, TN 37027-7513
Phone (615) 373-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 16, 2018 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58799CAMDPharmacist
12468TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Periodontal Group, PA Periodontics PastSince Jul 22, 2025 Accepting new patients
Brian D. West D.M.D. LLC Periodontics PastSince Jul 22, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013280676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 ELDER PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372151732",
            "telephone_number": "617-895-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124362",
            "telephone_number": "615-385-3334",
            "fax_number": "615-385-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Maryland Way Ste 308",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277513",
            "country_code": "US",
            "telephone_number": "615-373-0030",
            "fax_number": "615-373-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMLOCK",
        "first_name": "ALEC",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "58799",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "12468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.