Active NPI
Alec Jacob Temlock, DMD
- Periodontics
- Nashville, TN
National Provider Identifier
1013280676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12468
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 58799 | CA | MD | Pharmacist |
| 12468 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Periodontal Group, PA | Periodontics | Past | Accepting new patients |
| Brian D. West D.M.D. LLC | Periodontics | 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 and National Provider Directory roles.
-
- Periodontics
- Nashville, TN
- NPI 1447394788
-
- Periodontics
- Nashville, TN
- NPI 1982767646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.