Individual provider Active NPI

Austin L Temple III, DDS

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1265524540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6178 Issued in NC
Practice address
1480A Rymco Dr
Winston Salem, NC 27103-2944
Phone
(336) 725-9580
Fax
(336) 725-1491
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6178 NC Primary

Addresses

Primary practice location

1480A Rymco Dr
Winston Salem, NC 27103-2944

Mailing address

1480A Rymco Dr
Winston Salem, NC 27103-2944
Phone (336) 725-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150416000654 NC Order and Referring Only - DentistPractitioner - Dentist 5698093938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin L. Temple, III, DDS, PA CurrentSince Jun 9, 1997 Accepting new patients
Kostelic & Associates 2, PLLC PastSince Oct 6, 2024 Accepting new patients

Locations

1480 Rymco Dr
Ste A
Winston Salem, NC 27103
Phone (336) 725-9580

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265524540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480A RYMCO DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032944",
            "telephone_number": "336-725-9580",
            "fax_number": "336-725-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480A RYMCO DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032944",
            "telephone_number": "336-725-9580",
            "fax_number": "336-725-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "AUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.