Kenneth Barry Temple, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6451 Issued in CT

Practice address

40 E Putnam Ave
Cos Cob, CT 06807-2613

Phone

(203) 622-4243

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093920803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E PUTNAM AVE",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072613",
            "telephone_number": "203-622-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E PUTNAM AVE",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072613",
            "telephone_number": "203-622-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "KENNETH",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daeyoung Sullivan, L.AC
• Mary M Sullivan, LCSW
• Mark Robert Sutton, DDS
• Sean Sutton, D.D.S.
• Clare Burke Swanson
• Jill V. Tesei, A.P.R.N.
• Bonnie Thaler
• Christine L. Tierney, D.M.D.
• Chaula K. Vora, M.D.
• Walsh-Brunetti LLC

• General Practice Dentistry in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.